Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
Microsoft Document Imaging
image/vnd.ms-modi
MODI
A complete technical comparison of DICOM Run-Length Encoding and Microsoft Document Imaging — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | MODI |
|---|---|---|
| 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)
Microsoft Document Imaging
image/vnd.ms-modi
Extension
.mdi
Container
TIFF Variant
Compression
LZW / Proprietary MS Compression
Algorithm
LZW (Modified)
Color Depth
1-bit (Monochrome), 8-bit (Grayscale), 24-bit (RGB)
Developed by
Microsoft Corporation
Released
2001
Magic Bytes
49 49 2A 00
Browser Support Comparison
| Browser | DICOM-RLE | MODI |
|---|---|---|
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
MODI
MODI Strengths
- Historically provided an excellent all-in-one scanned document format with built-in OCR and annotations before PDF editing became universally accessible
- Tightly integrated with Microsoft Office and SharePoint workflows in the early 2000s
Limitations
- Completely proprietary and obsolete; Microsoft abandoned it in favor of standard TIFF and PDF
- Causes widespread identification conflicts since its file signature is identical to a standard TIFF
- Extremely difficult to open on modern operating systems without relying on third-party conversion utilities
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
MODI
Use MODI when…
- Legacy Scanned Document Archival
- Microsoft Office XP/2003/2007 Workflows
- Embedded OCR Text Storage