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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Macromedia FreeHand Document

image/x-freehand
FreeHand

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

Equal browser support

Feature Support

Feature DICOM-RLE FreeHand
Transparency (Alpha) ✕ No Yes
Animation Support Yes Yes
Progressive Loading ✕ No ✕ No
HDR Support Yes ✕ No
EXIF Metadata ✕ No ✕ No
ICC Color Profile Yes Yes
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 →
Macromedia FreeHand Document
image/x-freehand
Extension
.fh.fh4.fh5.fh7.fh8.fh9.fh10.fh11.ft11
Container Proprietary Binary (Aldus Graphic Document)
Compression Uncompressed / Deflate (in later versions)
Algorithm
NoneDeflate (Optional in later versions)
Color Depth Vector Data (RGB/CMYK)
Developed by Altsys / Aldus / Macromedia
Released 1988
Magic Bytes
41 47 44 31 to 41 47 44 34
Full FreeHand reference →

Browser Support Comparison

Browser DICOM-RLE FreeHand
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
FreeHand

FreeHand Strengths

  • Historically one of the most powerful and intuitive vector editors on the market, praised for multi-page support long before Adobe Illustrator implemented it
  • Files are generally compact and self-contained
Limitations
  • Completely abandoned proprietary format; Adobe actively blocked native import in modern versions of Illustrator
  • No support in modern web browsers; must be converted to SVG
  • Versioning fragmentation means parsers must account for wildly different binary structures depending on the specific .fhX extension used

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
FreeHand
Use FreeHand when…
  • Legacy Graphic Design Portfolios
  • Historical Desktop Publishing Archival
  • Old Corporate Logo Vectors
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