DCM to SIX Converter

DCM to SIX — quick online format conversion

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Remote Processing

The heavy lifting happens on Convertio's servers. Your computer or phone stays unburdened while DCM converts to SIX in the cloud.

Bulk Conversion

Upload multiple DCM files and convert them all to SIX in one session. Each processes independently — download all results at once.

Quick Turnaround

Fast processing means your SIX file is ready moments after uploading the DCM source. No queues or delays for standard jobs.

How to convert DCM to SIX

1

Select files from Computer, Google Drive, Dropbox, URL or by dragging it on the page.

2

Choose six or any other format you need as a result (more than 200 formats supported)

3

Let the file convert and you can download your six file right afterwards

About formats

DCM is the file extension for the DICOM (Digital Imaging and Communications in Medicine) standard, a comprehensive framework for handling, storing, transmitting, and printing medical imaging data. Developed jointly by the American College of Radiology (ACR) and the National Electrical Manufacturers Association (NEMA), the standard reached its current form as DICOM 3.0 in 1993 and has been continuously updated since. A DCM file is much more than an image container: it encapsulates the pixel data alongside a rich set of structured metadata tags organized into groups that describe the patient (name, ID, birth date), the study (date, referring physician, description), the imaging series (modality, body part, patient position), and the specific image (acquisition parameters, pixel spacing, window/level settings). DICOM supports a wide range of pixel data types — monochrome (8, 12, or 16 bits), RGB color, YBR color spaces, and multi-frame sequences for cine loops or volumetric stacks — with optional JPEG, JPEG 2000, JPEG-LS, or RLE compression. One advantage is clinical interoperability: every modern medical imaging device — CT, MRI, X-ray, ultrasound, PET, mammography — produces DICOM output, and every PACS (Picture Archiving and Communication System) ingests it, making DICOM the universal language of radiology. The embedded clinical context is another crucial strength: unlike generic image formats, each DCM file carries the metadata needed to correctly display, measure, and interpret the image in a diagnostic setting.
Developer: ACR / NEMA
Initial release: 1993
SIX is a file extension for SIXEL (Six Pixel) graphics data, a bitmap graphics format developed by Digital Equipment Corporation (DEC) in 1983 and introduced with the LA50 dot matrix printer. SIXEL encodes images as a sequence of printable ASCII characters, where each character represents a column of six vertical pixels (a 'sixel') — the character's ASCII value minus 63 provides a 6-bit binary pattern, with each bit controlling one pixel in the vertical column. The encoding is structured as a series of sixel bands (each six pixels tall) across the image width, with control sequences for color selection (up to 256 registers with HLS or RGB specification), repeat counts (run-length encoding for efficiency), carriage return, and newline commands. SIXEL data is transmitted to the output device using DEC's standard escape sequence protocol, embedded within the text stream alongside regular character output. Originally designed for DEC's line of printers and later supported by DEC VT-series terminals (VT240, VT330, VT340), SIXEL has experienced a remarkable revival in modern terminal emulator software. One advantage is terminal-native image display: SIXEL allows images to be rendered directly within a text terminal session without requiring a graphical window system, enabling command-line tools to display graphs, photographs, and previews inline with text output. This capability has driven adoption in modern terminals like mlterm, xterm, WezTerm, and foot. SIX/SIXEL data can be generated by ImageMagick, libsixel, and chafa, and viewed in any SIXEL-capable terminal emulator.
Initial release: 1983

Frequently Asked Questions

Why convert DCM to SIX?

Telemedicine workflows may require SIX format for images embedded in electronic health records or patient portals.

What programs open SIX files?

Terminal emulators with Sixel support (mlterm, xterm, mintty), ImageMagick, and libsixel tools

Can I batch convert multiple DCM files to SIX?

Upload several DCM files at once. Each one converts to SIX independently — download them individually or together when all are done.

Is my DCM file safe during conversion?

Uploaded files are processed securely and deleted after conversion. Downloaded results are removed from servers within 24 hours.

Does DCM to SIX conversion preserve quality?

The converter optimizes for best visual fidelity. SIX may apply compression

Can I convert multi-frame DICOM files?

Multi-frame DICOM studies produce separate SIX images per frame, letting you work with individual slices in standard viewers.