Q: Can I make thumbnails from a PDF?
A: Yes, as long as you have both ImageMagick and GhostScript
installed. The AFPL version of GhostScript seems to work
better than the GNU version (at least for me it does).
http://www.imagemagick.org
http://www.cs.wisc.edu/~ghost/
You may want to use the "sfn" (Source Frame Number)
parameter of phpThumb to specify which page to thumbnail.
[[!phpthumbof? &input=`path/to/pdf.pdf` &options=`&w=128&h=128`]]
[[!phpthumbof? &input=`path/to/pdf.pdf` &options=`&w=128&h=128&f=png`]]