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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Digital Picture Exchange

image/dpx
DPX

A complete technical comparison of DICOM Run-Length Encoding and Digital Picture Exchange — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.

Equal browser support

Feature Support

Feature DICOM-RLE DPX
Transparency (Alpha) ✕ No Yes
Animation Support Yes ✕ No
Progressive Loading ✕ No ✕ No
HDR Support Yes Yes
EXIF Metadata ✕ No ✕ No
ICC Color Profile Yes ✕ No
DICOM Run-Length Encoding
image/dicom-rle
Extension
.dcm.dicom
Container DICOM (PS3.10)
Compression Lossless (RLE)
Algorithm
Run-Length Encoding (RLE)
Color Depth 8-bit, 16-bit, 24-bit
Developed by National Electrical Manufacturers Association (NEMA) / ACR
Released 1993
Magic Bytes
44 49 43 4D (at byte offset 128)
Full DICOM-RLE reference →
Digital Picture Exchange
image/dpx
Extension
.dpx
Container DPX (SMPTE ST 268)
Compression Uncompressed / RLE (Rarely used)
Algorithm
Uncompressed
Color Depth 8-bit, 10-bit, 12-bit, 16-bit, 32-bit (Float)
Developed by SMPTE (Society of Motion Picture and Television Engineers)
Released 1994
Magic Bytes
53 44 50 58 (Big-endian) / 58 50 44 53 (Little-endian)
Full DPX reference →

Browser Support Comparison

Browser DICOM-RLE DPX
Chrome Chrome
Firefox Firefox
Safari Safari
Edge Edge
IE IE (Legacy)
DICOM-RLE

DICOM-RLE Strengths

  • Guarantees lossless preservation of critical medical data necessary for diagnostics
  • Extremely robust metadata structure containing patient information, modality, and spatial geometry
  • Faster to encode and decode than complex compression schemes like JPEG 2000
Limitations
  • RLE compression offers very low compression ratios compared to modern codecs like JPEG-LS or JPEG 2000
  • Zero support in web browsers or standard consumer image viewers
  • Strict data privacy regulations (HIPAA/GDPR) make handling DICOM files complex due to embedded PHI
DPX

DPX Strengths

  • Industry standard for transferring uncompressed, high-fidelity film and VFX data
  • Rich industry-specific metadata including timecode, keykode, and film stock information
  • Supports logarithmic color spaces (LogC, Cineon) to preserve the massive dynamic range of film negatives
Limitations
  • Massive file sizes (e.g., a single 4K 10-bit frame is ~50MB, resulting in ~1.2GB per second at 24fps)
  • Zero native support in web browsers or consumer OS image viewers
  • Requires heavy-duty, fast storage infrastructure (RAID/NVMe) to playback in real-time

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
DPX
Use DPX when…
  • Film Scanning
  • Visual Effects (VFX)
  • Digital Intermediate (DI)
  • Color Grading
  • Archival
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