Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
JPEG 2000 Image Sequence (Obsolete)
image/hsj2
HSJ2
A complete technical comparison of DICOM Run-Length Encoding and JPEG 2000 Image Sequence (Obsolete) — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | HSJ2 |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | Yes |
| 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 Sequence (Obsolete)
image/hsj2
Extension
.hsj2
Container
HEIF / ISOBMFF (ISO/IEC 15444-16 Obsolete)
Compression
Lossy / Lossless
Algorithm
Motion JPEG 2000 (ISO/IEC 15444-3)
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 68 73 6A 32
Browser Support Comparison
| Browser | DICOM-RLE | HSJ2 |
|---|---|---|
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
HSJ2
HSJ2 Strengths
- Historically attempted to combine Motion JPEG 2000 sequences with the flexible metadata capabilities of the HEIF container
- Supported mathematically lossless compression and scalable wavelet decoding
Limitations
- Officially deprecated by the standardization body (ISO/IEC JTC 1)
- Completely superseded by image/hej2k, rendering hsj2 files obsolete for any new development or archiving
- Zero web browser compatibility and negligible modern software support
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
HSJ2
Use HSJ2 when…
- Legacy Archival
- Deprecated Workflows