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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Extended Image File Format

image/vnd.xiff
XIFF

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

Equal browser support

Feature Support

Feature DICOM-RLE XIFF
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 →
Extended Image File Format
image/vnd.xiff
Extension
.xif
Container TIFF-based Proprietary Container
Compression CCITT Group 3 / Group 4 / LZW / Uncompressed
Algorithm
CCITT Group 4LZWNone
Color Depth 1-bit (Monochrome), 8-bit (Grayscale), 24-bit (RGB)
Developed by Keyfile Corporation
Released 1994
Magic Bytes
49 49 2A 00 or 4D 4D 00 2A
Full XIFF reference →

Browser Support Comparison

Browser DICOM-RLE XIFF
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
XIFF

XIFF Strengths

  • Pioneered early enterprise document workflow integration by binding administrative routing data directly to the document image file
  • Leveraged efficient fax compression standards to keep storage requirements low on 1990s server infrastructure
Limitations
  • Completely proprietary and obsolete; Keyfile Corporation's software ecosystem no longer exists
  • Causes widespread MIME type identification conflicts due to sharing the exact same binary header signature as standard TIFF files
  • Zero support in modern operating systems or web browsers

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
XIFF
Use XIFF when…
  • Keyfile Enterprise Document Management
  • Legacy Corporate Workflow Archival
  • Scanned Multi-page Document Routing
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