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Image MIME Reference
DICOM-RLE

DICOM Run-Length Encoding

image/dicom-rle
VS

Pixologic ZBrush PCX

image/vnd.zbrush.pcx
ZBrush-PCX

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

Equal browser support

Feature Support

Feature DICOM-RLE ZBrush-PCX
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 →
Pixologic ZBrush PCX
image/vnd.zbrush.pcx
Extension
.pcx
Container ZSoft PCX
Compression Run-Length Encoding (RLE)
Algorithm
ZSoft Run-Length Encoding (RLE)
Color Depth 8-bit (Grayscale), 24-bit (RGB)
Developed by ZSoft (Format) / Pixologic (MIME Registration)
Released 1985
Magic Bytes
0A 05 01 08
Full ZBrush-PCX reference →

Browser Support Comparison

Browser DICOM-RLE ZBrush-PCX
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
ZBrush-PCX

ZBrush-PCX Strengths

  • Extremely simple, lossless RLE compression makes it trivial to parse and encode programmatically
  • Universally supported by almost every 2D image editor created since the 1990s
Limitations
  • Completely obsolete for modern 3D workflows, which require 16-bit or 32-bit floating-point precision (like OpenEXR or TIFF) to avoid stepping artifacts in displacement maps
  • No support for modern metadata (EXIF/XMP) or native alpha channels
  • Zero native support in modern web browsers

When to choose which format

DICOM-RLE
Use DICOM-RLE when…
  • Medical Imaging
  • Ultrasound
  • X-Rays / CT / MRI
  • PACS Archives
ZBrush-PCX
Use ZBrush-PCX when…
  • Legacy ZBrush Alpha Brushes
  • 8-bit Grayscale Displacement Maps
  • ZBrush Texture Exports
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