Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
JPEG 2000 Image (HEIF Container)
image/hej2k
HEJ2K
A complete technical comparison of DICOM Run-Length Encoding and JPEG 2000 Image (HEIF Container) — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | HEJ2K |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | ✕ No |
| Progressive Loading | ✕ No | Yes |
| 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)
JPEG 2000 Image (HEIF Container)
image/hej2k
Extension
.hej2
Container
HEIF / ISOBMFF (ISO/IEC 15444-16)
Compression
Lossy / Lossless
Algorithm
JPEG 2000HTJ2K
Color Depth
8-bit, 10-bit, 12-bit, 16-bit
Developed by
ISO/IEC JTC 1 / ITU-T
Released
2019
Magic Bytes
XX XX XX XX 66 74 79 70 6A 32 6B 69
Browser Support Comparison
| Browser | DICOM-RLE | HEJ2K |
|---|---|---|
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
HEJ2K
HEJ2K Strengths
- Brings the extensive capabilities of the HEIF container (like EXIF/XMP, thumbnails, and depth maps) to JPEG 2000
- Supports mathematically lossless compression via wavelet transformation
- High scalability and progressive decoding out of the box
Limitations
- Extremely limited software support outside of niche industries
- Zero native compatibility with web browsers
- High computational complexity compared to simpler formats like JPEG or PNG
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
HEJ2K
Use HEJ2K when…
- Medical Imaging
- Geospatial Data
- Scientific Archiving