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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

FAST Search & Transfer Image

image/vnd.fst
FST-Image

A complete technical comparison of DICOM Run-Length Encoding and FAST Search & Transfer Image — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.

Equal browser support

Feature Support

Feature DICOM-RLE FST-Image
Transparency (Alpha) ✕ No ✕ No
Animation Support Yes ✕ No
Progressive Loading ✕ No ✕ No
HDR Support Yes ✕ No
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 →
FAST Search & Transfer Image
image/vnd.fst
Extension
.fst
Container Proprietary FAST Container
Compression Proprietary
Algorithm
Unknown (Proprietary FAST encoding)
Color Depth Unknown
Developed by FAST Search & Transfer ASA (Arild Fuldseth)
Released 2000
Magic Bytes
Unknown (Proprietary)
Full FST-Image reference →

Browser Support Comparison

Browser DICOM-RLE FST-Image
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
FST-Image

FST-Image Strengths

  • Historically served as an optimized, compressed format for FAST's early multimedia and live streaming engines over constrained late-1990s bandwidth
Limitations
  • Completely obsolete and non-functional in modern software ecosystems
  • Undocumented, closed-source binary structure with zero support in modern image processing libraries
  • Shares its file extension with several other distinct file types (such as FL Studio state files or FAST Search dictionaries), leading to easy misidentification

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
FST-Image
Use FST-Image when…
  • Historical FAST Enterprise Search Indexing
  • Legacy Proprietary Multimedia Streaming (late 1990s)
  • Internal Media Transmission
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