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Always impressed when someone does anything with DICOM, it's a bit complex format IMHO.

Image data is just encapsulated: you just take a jpeg file and write it to bytes and wrap it a little.

That’s misleading.

- medicine chooses lossless formats

- there are security concerns with decoders and operating systems

- once you build a medical device, the future of your company depends on being able to expensively patch it