Click the "Select File" button above, and choose your PXE file.
You’ll see a preview, if available.
Click the "Convert file to..." button to extract text information.
Convert PXE to another file type
To convert PXE files to another format, you need Varian ARIA or other Raster Image software.
Convert a file to PXE
To convert other file formats to the "Medical Imaging File" file type, you need software like Varian ARIA or a similar tool.
About PXE files
The .PXE file extension is a notorious source of confusion because it represents three completely different data structures depending on your industry.
Medical Imaging (Varian): Most frequently (approx. 19% of cases), this is a Radiotherapy Portal Image created by Varian Medical Systems (now part of Siemens Healthineers). These files contain high-dynamic-range X-ray data used for patient positioning verification in oncology. The friction here is significant: these files are often proprietary and cannot be opened by standard DICOM viewers, let alone generic editors like Adobe Photoshop. To use these images for presentations, patient records, or easy viewing, you must convert them to standard DICOM (.DCM), TIFF, or PNG formats.
Network Booting (IT): In system administration, a .PXE file is a network bootloader executable or configuration image associated with the Preboot Execution Environment, often utilized by projects like iPXE or gPXE. These are binary or script files used to boot computers over a network interface. Attempting to open these in a text editor often results in gibberish. Users often need to convert or extract the embedded scripts to TXT to debug boot configurations.
Gaming (Cave Story): A niche but persistent use case is the event script format for the indie game Cave Story. These control game logic and dialogue. Modders often need to convert these from their compiled format to editable text.
Recommendation: Because .PXE files are often binary blobs, simple 'Open With' commands fail.
Convert.Guru analyzes your PXE file, detects the exact format, and lets you read the text inside.
If you want to convert PXE file to , you can use Varian ARIA or similar software from the "Radiotherapy Portal Image" category. In the File menu, look for Save As… or Export….
To convert files to PXE, try Varian ARIA or another comparable tool in the "Radiotherapy Portal Image" category.
The PXE Converter Story
The history of Convert.Guru began over 25 years ago in California with Tom Simondi’s file-format database. A former contributor to Space Shuttle development and a software pioneer of the 1980s, Simondi established a trusted resource for file type analysis that was even referenced by Microsoft Windows XP. Today, we use modern technology to process and convert thousands of file formats while continually improving our PXE converter.