DCM to SIXEL Converter

Browser-based DCM to SIXEL converter — easy to use

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Simple Workflow

Upload your DCM, pick SIXEL, and download the result. Three straightforward steps — no learning curve, no account required.

Secure Processing

Your DCM file is deleted right after conversion. The SIXEL output is purged from servers within 24 hours — your data stays private.

Nothing to Install

The entire DCM to SIXEL conversion happens in your web browser. No downloads, no plugins — just a clean online tool.

How to convert DCM to SIXEL

1

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

2

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

3

Let the file convert and you can download your sixel 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
SIXEL (Six Pixel) is a bitmap graphics encoding format created by Digital Equipment Corporation (DEC) in 1983 for rendering images on character-cell printers and video terminals. The name derives from the encoding's fundamental unit: a column of six pixels represented by a single ASCII character. Each printable character in the sixel data stream (ASCII 63-126) encodes a 6-pixel vertical column, with the character's binary value determining which pixels are on or off. Color is specified through register-based palette control: a Select Color Sequence assigns an HLS or RGB color value to a numbered register, and subsequent sixel characters use that color until another register is selected. The encoding supports raster attributes for specifying pixel aspect ratio and image dimensions, repeat sequences (! followed by a count and character) for run-length compression of identical columns, and $ (carriage return) and - (new line) for navigating the sixel grid. DEC implemented SIXEL support in their VT240, VT241, VT330, and VT340 terminals, as well as multiple printer models. One advantage of the SIXEL encoding is its ASCII-clean nature: the data stream consists entirely of printable characters and standard control sequences, meaning SIXEL graphics can be transmitted through any text-based communication channel — serial terminals, SSH sessions, telnet connections — without requiring binary-safe transport or protocol modifications. The format's modern renaissance provides another remarkable dimension: after decades of obscurity, SIXEL support has been implemented in numerous contemporary terminal emulators, enabling inline image display in command-line workflows. SIXEL output can be generated by ImageMagick, libsixel, chafa, and various plotting libraries.
Initial release: 1983

Frequently Asked Questions

Why convert DCM to SIXEL?

Training materials and medical case studies benefit from SIXEL versions of DICOM scans that students can view anywhere.

What programs open SIXEL files?

Sixel-capable terminals (xterm, mlterm, foot), ImageMagick, and libsixel command-line tools

Are colors preserved in the DCM to SIXEL conversion?

Color information transfers accurately to SIXEL. The converter maintains the original color profile as closely as the target format allows.

Can I convert multi-frame DICOM files?

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

Can I convert DCM to SIXEL without paying?

Yes — basic DCM to SIXEL conversion is available at no cost. Paid tiers unlock batch mode, bigger uploads, and faster processing.

Does converting strip patient metadata from DICOM?

Converting DCM to an image format extracts only the visual data. Embedded patient information is not carried into the SIXEL output.

DCM to SIXEL Quality Rating

5.0 (1 votes)
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