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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Adobe Photoshop Document

image/vnd.adobe.photoshop
PSD

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

Equal browser support

Feature Support

Feature DICOM-RLE PSD
Transparency (Alpha) ✕ No Yes
Animation Support Yes Yes
Progressive Loading ✕ No ✕ No
HDR Support Yes Yes
EXIF Metadata ✕ No Yes
ICC Color Profile Yes Yes
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 →
Adobe Photoshop Document
image/vnd.adobe.photoshop
Extension
.psd.psb.pdd
Container Adobe Photoshop Document (PSD/PSB)
Compression Uncompressed / RLE (Run-Length Encoding) / ZIP
Algorithm
RLEZIP (with or without prediction)None
Color Depth 1-bit (Bitmap), 8-bit, 16-bit, 32-bit (Float/HDR)
Developed by Adobe Systems
Released 1990
Magic Bytes
38 42 50 53
Full PSD reference →

Browser Support Comparison

Browser DICOM-RLE PSD
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
PSD

PSD Strengths

  • The undisputed global standard for layered raster graphics and non-destructive image editing
  • Supports incredibly complex compositions combining raster data, vector shapes, live text, and adjustment layers
  • Full support for advanced color spaces (CMYK, Lab, multi-channel) and 32-bit floating-point HDR workflows
Limitations
  • Proprietary format: while the specification is published, complete feature-parity is rarely achieved by third-party software (e.g., smart objects and complex layer styles often break)
  • Files can reach enormous sizes (gigabytes) due to the preservation of unflattened, high-resolution layer data
  • Zero support for native rendering in web browsers or standard mobile image viewers

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
PSD
Use PSD when…
  • Professional Photo Retouching
  • Digital Painting and Illustration
  • UI/UX Design Workflows
  • Graphic Design and Print Production
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