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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

PTI Image (Personal/Vanity Tree)

image/prs.pti
PTI

A complete technical comparison of DICOM Run-Length Encoding and PTI Image (Personal/Vanity Tree) — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.

Equal browser support

Feature Support

Feature DICOM-RLE PTI
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 →
PTI Image (Personal/Vanity Tree)
image/prs.pti
Extension
.pti
Container Proprietary
Compression Unknown / Proprietary
Algorithm
Unknown
Color Depth Unknown
Developed by Jürn Laun
Released 1999
Magic Bytes
Unknown
Full PTI reference →

Browser Support Comparison

Browser DICOM-RLE PTI
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
PTI

PTI Strengths

  • Provided a registered MIME type namespace for a specific application's proprietary image format without conflicting with standard web types
Limitations
  • Completely undocumented and unsupported in modern ecosystems
  • Zero web browser compatibility
  • Falls into the 'vanity' tree, making it irrelevant for standard cross-platform data exchange

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
PTI
Use PTI when…
  • Legacy Application Specific Workflows
  • Proprietary Image Storage
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