Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
High Efficiency Image File Format
image/heif
HEIF
A complete technical comparison of DICOM Run-Length Encoding and High Efficiency Image File Format — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | HEIF |
|---|---|---|
| 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 File Format
image/heif
Extension
.heif.hif
Container
HEIF / ISOBMFF (ISO/IEC 14496-12)
Compression
Lossy / Lossless
Algorithm
Codec Agnostic (HEVC, AVC, JPEG, AV1)
Color Depth
8-bit, 10-bit, 12-bit, 16-bit
Developed by
Moving Picture Experts Group (MPEG)
Released
2015
Magic Bytes
XX XX XX XX 66 74 79 70 6D 69 66 31
Browser Support Comparison
| Browser | DICOM-RLE | HEIF |
|---|---|---|
Chrome
|
✕ | ✕ |
Firefox
|
✕ | ✕ |
Safari
|
✕ | ✕ |
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
HEIF
HEIF Strengths
- Highly flexible container that can store image bursts, animations, focal stacks, and stereo 3D images in one file
- Natively supports depth maps and alpha channels, making it perfect for computational photography
- When paired with modern codecs like HEVC or AV1, it provides massive storage savings over legacy formats like JPEG
Limitations
- Codec agnosticism makes broad software decoding difficult, as the container might hold proprietary or unsupported codecs
- Zero cross-platform web browser support, requiring conversion for online publishing
- Often confused with the more specific 'image/heic' and 'image/avif' MIME types
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
HEIF
Use HEIF when…
- Digital Photography
- Camera Capture
- Image Archiving
- Multi-image composites