Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
Windows Icon (Legacy MIME)
image/x-icon
ICO
A complete technical comparison of DICOM Run-Length Encoding and Windows Icon (Legacy MIME) — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
ICO wins on browser support
Feature Support
| Feature | DICOM-RLE | ICO |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | ✕ No |
| Progressive Loading | ✕ No | ✕ No |
| HDR Support | Yes | ✕ No |
| 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)
Windows Icon (Legacy MIME)
image/x-icon
Extension
.ico
Container
ICO Directory Structure
Compression
Uncompressed (DIB/BMP) / Deflate (Embedded PNG)
Algorithm
NoneDeflate (via PNG)
Color Depth
1-bit, 4-bit, 8-bit, 24-bit (True Color), 32-bit (RGBA)
Developed by
Microsoft Corporation
Released
1985
Magic Bytes
00 00 01 00
Browser Support Comparison
| Browser | DICOM-RLE | ICO |
|---|---|---|
|
|
✕ |
✓ 1
|
|
|
✕ |
✓ 1
|
|
|
✕ |
✓ 1
|
|
|
✕ |
✓ 12
|
|
|
✕ |
✓
|
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
ICO
ICO Strengths
- Universally supported by every web browser in existence for website favicons
- Packs multiple resolutions into a single file, eliminating the need to serve different files for the taskbar vs. the desktop
- Modern support for embedded PNGs (since Windows Vista) allows for excellent 32-bit transparency (alpha channels) and drastically reduced file sizes
Limitations
- Internal file structure is convoluted due to decades of legacy cruft, such as the requirement for BMP data to lack a standard file header but double the height property for an archaic XOR/AND mask
- Larger file size compared to a single optimized PNG or SVG, as it literally stores the same image multiple times at different scales
- The MIME type landscape is highly fragmented (x-icon vs. vnd.microsoft.icon), causing occasional caching or strict-MIME validation errors on restrictive servers
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
ICO
Use ICO when…
- Website Favicons (favicon.ico)
- Windows Application Executable Icons (.exe)
- Desktop Shortcut Icons