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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

X Bitmap (Legacy MIME Alias)

image/x-xbm
XBM

A complete technical comparison of DICOM Run-Length Encoding and X Bitmap (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 XBM
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 →
X Bitmap (Legacy MIME Alias)
image/x-xbm
Extension
.xbm
Container C Source Code Header (.h)
Compression Uncompressed (Source Code)
Algorithm
None
Color Depth 1-bit (Monochrome)
Developed by MIT / X Consortium (X Window System)
Released 1988
Magic Bytes
23 64 65 66 69 6e 65 (ASCII '#define')
Full XBM reference →

Browser Support Comparison

Browser DICOM-RLE XBM
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
XBM

XBM Strengths

  • Can be compiled directly into C or C++ source code without needing an external file loader or binary asset manager
  • Human-readable structure allows developers to inspect, edit, or hand-craft tiny icons directly within a text editor
  • Extremely predictable and lightweight for 1-bit hardware displays and embedded systems
Limitations
  • Strictly limited to 1-bit monochrome (black and white) graphics with no gray or color support
  • Text-based C syntax creates massive file bloat compared to binary 1-bit formats like PBM
  • Completely deprecated in modern web browsers and desktop GUI frameworks

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
XBM
Use XBM when…
  • X Window System (X11) Cursors and Icons
  • Embedded C/C++ Firmware UI Assets
  • Early 1990s Unix Web Graphics
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