Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
Portable Pixmap
image/x-portable-pixmap
PPM
A complete technical comparison of DICOM Run-Length Encoding and Portable Pixmap — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | PPM |
|---|---|---|
| Transparency (Alpha) | ✕ No | ✕ No |
| 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)
Portable Pixmap
image/x-portable-pixmap
Extension
.ppm
Container
Netpbm
Compression
Uncompressed
Algorithm
None
Color Depth
24-bit (RGB), 48-bit (RGB High Color)
Developed by
Jef Poskanzer (Netpbm Project)
Released
1988
Magic Bytes
50 33 (ASCII) or 50 36 (Binary)
Browser Support Comparison
| Browser | DICOM-RLE | PPM |
|---|---|---|
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
PPM
PPM Strengths
- Absolute structural simplicity allows parsers and renderers (such as custom raytracers) to write directly to the format with virtually no overhead or external libraries
- Supports 16-bit per channel (48-bit total) precision, preserving deep color accuracy before converting to final delivery formats
- ASCII encoding ('P3') allows manual editing and visual inspection of RGB values directly within a text editor
Limitations
- Zero compression results in astronomical file sizes, making it entirely impractical for web delivery or consumer storage
- Does not natively support an alpha channel for transparency (this is handled by the newer PAM extension format within the Netpbm suite)
- Lacks support for modern metadata standards like EXIF, XMP, or embedded ICC color profiles
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
PPM
Use PPM when…
- Intermediary Format for Image Format Conversion
- Academic Computer Graphics and Raytracing Output
- Unix/Linux Command-Line Image Pipelines