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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Windows Metafile

image/x-wmf
WMF

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

Equal browser support

Feature Support

Feature DICOM-RLE WMF
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 →
Windows Metafile
image/x-wmf
Extension
.wmf.emf
Container Windows GDI Metafile Command Stream
Compression Uncompressed (Command Stream)
Algorithm
None
Color Depth Varies based on GDI rendering engine
Developed by Microsoft Corporation
Released 1990
Magic Bytes
D7 CD C6 9A (Aldus Placeable Metafile Header) or 01 00 09 00 (Standard WMF Header)
Full WMF reference →

Browser Support Comparison

Browser DICOM-RLE WMF
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
WMF

WMF Strengths

  • Infinitely scalable vector format that remains remarkably compact for simple geometric illustrations and charts
  • Historically served as a seamless conduit for copying and pasting vector graphics between disparate Windows applications via the system clipboard
Limitations
  • Notoriously plagued by historic security vulnerabilities, making raw WMF parsing a vector for exploits in legacy software
  • Completely obsolete and unsupported in modern web environments (browsers cannot render them)
  • Strictly tied to the Windows GDI architecture, making cross-platform rendering inconsistent across Linux and macOS

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
WMF
Use WMF when…
  • Legacy Microsoft Office Clip Art and Icons
  • Windows GDI Graphics Export
  • Early Windows Desktop Publishing
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