Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
High Efficiency Image Container
image/heic
HEIC
A complete technical comparison of DICOM Run-Length Encoding and High Efficiency Image Container — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
HEIC wins on browser support
Feature Support
| Feature | DICOM-RLE | HEIC |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | Yes |
| Progressive Loading | ✕ No | ✕ No |
| HDR Support | Yes | Yes |
| EXIF Metadata | ✕ No | Yes |
| 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)
High Efficiency Image Container
image/heic
Extension
.heic
Container
HEIF / ISOBMFF
Compression
Lossy / Lossless
Algorithm
HEVC (H.265)
Color Depth
8-bit, 10-bit, 12-bit, 16-bit
Developed by
MPEG (Standard) / Apple (Adoption)
Released
2017
Magic Bytes
XX XX XX XX 66 74 79 70 68 65 69 63
Browser Support Comparison
| Browser | DICOM-RLE | HEIC |
|---|---|---|
Chrome
|
✕ | ✕ |
Firefox
|
✕ | ✕ |
Safari
|
✕ |
✓ 11+
|
Edge
|
✕ | ✕ |
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
HEIC
HEIC Strengths
- Exceptional compression efficiency — stores images at roughly half the file size of JPEG with equal or better visual quality
- Natively supports modern photography features like depth maps, 16-bit color, HDR, and alpha channel transparency
- Can store image bursts, focal stacks, and animations (Live Photos) within a single file
Limitations
- Heavily encumbered by software patents, leading to very poor adoption outside the Apple ecosystem
- Not supported by standard web browsers (except Safari), requiring server-side or client-side conversion for web delivery
- Windows requires downloading a separate (often paid) extension from the Microsoft Store to view natively
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
HEIC
Use HEIC when…
- iOS / iPhone Photography
- macOS Ecosystem
- High-Quality Image Archiving