Dual-Stream Compression of High Bit-Depth Medical Images with Application to DNA Storage

High bit-depth medical images preserve subtle intensity variations that are important for quantitative analysis and clinical interpretation, but their large dynamic range poses challenges for efficient compression. We propose a bit-plane-aware dual-stream compression framework for 16-bit medical images by separately modeling the most significant bit (MSB) and least significant bit (LSB) components. The MSB structural stream is encoded using JPEG coding with a Duplicate Segment Skipping (DSS) strategy to exploit spatial and segment-level redundancy, while the LSB detail stream is compressed using learned image compression to represent residual variations and fine-grained details. Experiments on four MRI and CT datasets show that the proposed method consistently outperforms representative traditional and learning-based codecs, achieving the lowest bit rate across all datasets. Meanwhile, it preserves high reconstruction fidelity. As a downstream application, we further demonstrate that the compressed bitstreams can be effectively integrated with DNA encoding and converted into sequences with favorable biochemical properties.