Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
High-Throughput JPEG 2000 Codestream
image/jphc
HTJ2K-Codestream
A complete technical comparison of DICOM Run-Length Encoding and High-Throughput JPEG 2000 Codestream — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | HTJ2K-Codestream |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | ✕ No |
| Progressive Loading | ✕ No | Yes |
| HDR Support | Yes | Yes |
| 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)
High-Throughput JPEG 2000 Codestream
image/jphc
Extension
.jhc
Container
None (Raw Codestream)
Compression
Lossy / Lossless
Algorithm
High-Throughput JPEG 2000 (HTJ2K)
Color Depth
8-bit, 16-bit, 32-bit, 38-bit
Developed by
Joint Photographic Experts Group (JPEG)
Released
2019
Magic Bytes
FF 4F FF 51
Browser Support Comparison
| Browser | DICOM-RLE | HTJ2K-Codestream |
|---|---|---|
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
HTJ2K-Codestream
HTJ2K-Codestream Strengths
- Extremely fast encoding and decoding capabilities due to the parallelizable block coder
- Minimal file overhead since it lacks container headers and metadata
- Ideal for streaming applications or embedded systems where parsing a full container is unnecessary
Limitations
- Lacks standard metadata support (like EXIF, XMP, or ICC color profiles) since there is no container structure
- Zero native web browser compatibility
- Difficult to distinguish from standard JPEG 2000 codestreams without deeply parsing the internal marker segments
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
HTJ2K-Codestream
Use HTJ2K-Codestream when…
- Medical Imaging Pipelines
- Geospatial Data Streaming
- Digital Cinema
- Embedded Systems