The document discusses lossless medical image compression techniques, proposing two approaches: one using a combination of 2D Discrete Wavelet Transform (DWT) and the FELICS algorithm, and the other employing predictive coding with Integer Wavelet Transform (IWT). The paper compares the effectiveness of both approaches in terms of compression ratios and image quality parameters such as PSNR and MSE. Results indicate that while both methods improve compression, approach 1 yields higher compression ratios and approach 2 achieves better image quality.