Image MIME Reference
DICOM-RLE
DICOM Run-Length Encoding
image/dicom-rle
VS
RealNetworks RealPix
image/vnd.rn-realpix
RealPix
A complete technical comparison of DICOM Run-Length Encoding and RealNetworks RealPix — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.
Equal browser support
Feature Support
| Feature | DICOM-RLE | RealPix |
|---|---|---|
| Transparency (Alpha) | ✕ No | Yes |
| Animation Support | Yes | Yes |
| Progressive Loading | ✕ No | Yes |
| 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)
RealNetworks RealPix
image/vnd.rn-realpix
Extension
.rp
Container
IMFL (XML Markup)
Compression
Uncompressed (Plain Text Markup)
Algorithm
None (Plain Text)
Color Depth
Dependent on referenced images
Developed by
RealNetworks
Released
1998
Magic Bytes
3C 69 6D 66 6C
Browser Support Comparison
| Browser | DICOM-RLE | RealPix |
|---|---|---|
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
RealPix
RealPix Strengths
- Allowed for 'Ken Burns'-style animated slideshows at a fraction of the bandwidth required for actual video, crucial for 1990s dial-up connections
- Plain text XML architecture made it easy for developers and hobbyists to hand-code complex multimedia presentations
- Perfectly synchronized with RealAudio streams using SMIL-like timing parameters
Limitations
- Completely obsolete and heavily reliant on the proprietary, defunct RealPlayer browser plugin
- Not a true image format, causing confusion when handled by standard image processing libraries which expect binary pixel data
- Lacks modern CSS or HTML5 canvas equivalents without completely rewriting the presentation logic
When to choose which format
DICOM-RLE
Use DICOM-RLE when…
- Medical Imaging
- Ultrasound
- X-Rays / CT / MRI
- PACS Archives
RealPix
Use RealPix when…
- Historical Dial-up Streaming Presentations
- RealPlayer Slideshows
- Bandwidth-efficient 'Video' Alternatives (late 1990s)