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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Truevision TGA (Legacy MIME Alias)

image/x-tga
TGA

A complete technical comparison of DICOM Run-Length Encoding and Truevision TGA (Legacy MIME Alias) — covering compression, feature support, browser compatibility, magic bytes, and when to choose each format.

Equal browser support

Feature Support

Feature DICOM-RLE TGA
Transparency (Alpha) ✕ No Yes
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 →
Truevision TGA (Legacy MIME Alias)
image/x-tga
Extension
.tga.icb.vda.vst
Container Truevision TGA Footer/Header
Compression Uncompressed / Run-Length Encoding (RLE)
Algorithm
NoneRLE
Color Depth 8-bit (Grayscale or Indexed), 16-bit (High Color), 24-bit (True Color), 32-bit (True Color with Alpha Channel)
Developed by Truevision Inc.
Released 1984
Magic Bytes
54 52 55 45 56 49 53 49 4F 4E 2D 58 46 49 4C 45 2E 00 (At the end of the file)
Full TGA reference →

Browser Support Comparison

Browser DICOM-RLE TGA
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
TGA

TGA Strengths

  • Incredibly simple byte layout allows developers to write custom loaders and exporters in a few dozen lines of code, bypassing the need for heavy external libraries
  • Native support for 8-bit alpha channels ensures flawless transparency masking for real-time 3D rendering
  • Fast, predictable RLE decoding requires almost no CPU overhead compared to DEFLATE (PNG) or DCT (JPEG)
Limitations
  • RLE compression is relatively weak by modern standards, resulting in large file sizes
  • Lacks a standard magic byte header at the beginning of the file, making file-sniffing unreliable for older v1.0 files
  • Zero support in web browsers; must be converted to PNG or WebP for web delivery

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
TGA
Use TGA when…
  • Video Game 3D Textures and Materials
  • 3D Rendering and Animation Sequences
  • Legacy Video Production Workflows
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