Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
JPEG XS Codestream
image/jxsc
JPEG-XS-Codestream
A complete technical comparison of DICOM Run-Length Encoding and JPEG XS Codestream — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | JPEG-XS-Codestream |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | ✕ No |
| Progressive Loading | ✕ No | ✕ No |
| 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)
JPEG XS Codestream
image/jxsc
Extension
.jxsc.jxs
Container
None (Raw Codestream)
Compression
Lossy (Visually Lossless) / Mathematically Lossless
Algorithm
JPEG XS (ISO/IEC 21122-1)
Color Depth
8-bit, 10-bit, 12-bit, 14-bit, 16-bit
Developed by
Joint Photographic Experts Group (JPEG) / intoPIX
Released
2019
Magic Bytes
FF 10
Browser Support Comparison
| Browser | DICOM-RLE | JPEG-XS-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
JPEG-XS-Codestream
JPEG-XS-Codestream Strengths
- Eliminates container overhead, maximizing parsing speed and minimizing latency to fractions of a millisecond
- Highly optimized for direct hardware implementation in FPGAs and ASICs
- Perfect for continuous data streaming over IP networks without needing to establish file headers
Limitations
- Lacks standard container metadata (EXIF, XMP, ICC profiles), meaning color space and orientation data must be handled externally or out-of-band
- Zero support in web browsers or standard consumer operating systems
- Often requires specialized broadcast hardware or custom software libraries to decode
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
JPEG-XS-Codestream
Use JPEG-XS-Codestream when…
- Hardware Decoding Pipelines (FPGA/ASIC)
- Live Broadcast Infrastructure
- Video over IP Transport
- Embedded Camera Systems