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Bone health contributes to preserving autonomy and preventing chronic-degenerative skeletal diseases such as Osteoporosis, which is a systemic disease of the skeleton characterized by low bone density and the deterioration of the micro-architecture of the bone tissue. It is a silent and asymptomatic disease that increases bone fragility and the risk of fractures, especially for the lumbar vertebrae and the femoral neck.
Bone deterioration can depend on multiple risk factors, both generic and related to lifestyle, or to particular health conditions. For this reason, it is possible to evaluate the bone density of the Vertebrae and the Femur without using X-rays through a simple radiation-free technique that will allow the clinician to provide information on lifestyle and nutrition and/or appropriate therapy.
At Bay Area Bone Scan, we specialize in offering quick, radiation-free bone health assessments using the revolutionary REMS Echolight machine, called EchoS, the innovative examination, which through a simple echographic scan, will provide all the information about your bone density and quality in a few minutes.
Technology
About REMS Technology
01
REMS
R.E.M.S. (Radiofrequency Echographic Multi Spectrometry) is an innovative proprietary and worldwide patented radiation-free method for the characterization of bone microarchitecture at the level of the lumbar vertebrae and femoral neck.
02
EchoS
EchoS is a device that utilizes proprietary R.E.M.S. (Radiofrequency Echographic Multi Spectrometry) technology to scan the lumbar vertebrae and proximal femur. EchoS rapidly generates a medical report that includes BMD, T-score, and Z-score. In addition, the system automatically assesses the quality of bone microarchitecture, independent of BMD, and provides a five-year probability of an osteoporosis fracture (major/hip).
03
Echolight technology
With a quick and simple ultrasound, the Echolight technology allows an examiner to identify and scan a patient’s lumbar vertebrae (spine) and femoral neck (hip) bones for density and quality of bone microarchitecture. Within several minutes, the device automatically compares the patient’s examination with reference data from over 100,000 other patients in the database.
The technology measures the most common bone health factor — bone mineral density (BMD) — and generates a T-score and a Z-score that are commonly used to diagnose osteoporosis. Unlike previous technology, the EchoS also calculates a measure of bone quality —the Fragility Score.
04
Bone mineral density (BMD)
This is an actual measurement of the density of the bone (measured in gr/cm2). The BMD is used to determine the T-Score and the Z-Score. A correct osteoporosis diagnosis is en/rely dependent on accurate BMD data.
05
T-score
This is a numeric value derived through sta/s/cal calcula/ons that directly compares an individual’s BMD to the mean BMD value of a very large database of healthy 30-year-olds. A T-score value with a standard deviation of -2.5 from the mean value establishes a diagnosis of osteoporosis.
06
Z-score
This is a numeric value derived in a similar manner as the T-Score, but instead, it compares your BMD to the BMD of people your age and gender.
06
Fragility score
This is a numeric value derived through sta/s/cal calculation using data obtained during the EchoS scan. After the data is compared to a database of people with and without fractures, the calculated value reflects the quality of your bone and how likely you are to sustain a fragility fracture.
What Makes REMS Better
Why REMS is SUPERIOR to DEXA
Radiation Free
Short-Term
Monitoring
Measures Bone Mass Density And Strength
Includes Fragility
Score
Provides 5-Year Fracture Risk Assessment
Discards Artifacts
Resources
What else do you need to know
Could Radiofrequency Echographic Multi-Spectrometry (REMS) Overcome the Overestimation in BMD by Dual-Energy X-ray Absorptiometry (DXA) at the Lumbar Spine?
Key Finding: REMS technology is able to improve the accuracy of osteoporosis diagnosis in cases where lumbar BMD by DXA is impaired by artifacts from vertebral fractures or osteoarthritis.
Published by: Caffarelli et al., Diagnostics, 2024
DXA Beyond Bone Mineral Density and the REMS Technique: New Insights for Current Radiologists Practice
Key Finding: REMS technology can overcome artifacts commonly encountered in DXA assessments, such as osteoarthrosis and vertebral fractures, providing more accurate BMD measurements.
Published by: Caffarelli et al., Diagnostics, 2024
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