Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
Image Exchange Format
image/ief
IEF
A complete technical comparison of DICOM Run-Length Encoding and Image Exchange Format — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | IEF |
|---|---|---|
| Transparency (Alpha) | ✕ No | ✕ No |
| 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)
Image Exchange Format
image/ief
Extension
.ief
Container
TIFF Class B (TIFF-B)
Compression
Lossless (MH, MR, MMR) / Uncompressed
Algorithm
MHMRMMRUncompressed
Color Depth
1-bit (Monochrome)
Developed by
IETF Network Fax Working Group
Released
1992
Magic Bytes
49 49 2A 00 (Little-endian) / 4D 4D 00 2A (Big-endian)
Browser Support Comparison
| Browser | DICOM-RLE | IEF |
|---|---|---|
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
IEF
IEF Strengths
- Provided a standard method for exchanging bi-level fax images during the early days of the Internet
- Supported multi-page documents
- Leveraged the highly resilient and well-documented TIFF container
Limitations
- Completely obsolete and unsupported in modern computing environments
- Strictly limited to 1-bit monochrome data, lacking color or grayscale capabilities
- Magic bytes overlap completely with standard TIFF, making specific filetype detection difficult without parsing internal tags
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
IEF
Use IEF when…
- Legacy Fax Transmissions
- Early Internet Gateways
- Archival