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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Portable Bitmap

image/x-portable-bitmap
PBM

A complete technical comparison of DICOM Run-Length Encoding and Portable Bitmap — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.

Equal browser support

Feature Support

Feature DICOM-RLE PBM
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)
Full DICOM-RLE reference →
Portable Bitmap
image/x-portable-bitmap
Extension
.pbm
Container Netpbm
Compression Uncompressed
Algorithm
None
Color Depth 1-bit (Monochrome)
Developed by Jef Poskanzer (Netpbm Project)
Released 1988
Magic Bytes
50 31 (ASCII) or 50 34 (Binary)
Full PBM reference →

Browser Support Comparison

Browser DICOM-RLE PBM
Chrome Chrome
Firefox Firefox
Safari Safari
Edge Edge
IE 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
PBM

PBM Strengths

  • Absolute structural simplicity allows parsers to be written from scratch with just a few lines of code
  • ASCII encoding allows manual editing and debugging directly within a standard text editor
  • Serves as a flawless, lossless intermediary for 1-bit raster data like scanned documents or barcodes
Limitations
  • Strictly limited to 1-bit monochrome images; cannot natively display shades of gray or color
  • Lack of compression results in extremely large file sizes, particularly when using the ASCII 'P1' encoding
  • No support for alpha transparency or modern metadata standards like EXIF

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
PBM
Use PBM when…
  • Optical Character Recognition (OCR) Pre-processing
  • Unix/Linux Command-Line Image Pipelines
  • Academic Image Processing Teaching
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