JAPAN: REMS OFFERS A MORE ACCURATE AND PRECICE CLINICAL DIAGNOSIS

“Radiofrequency Echographic Multispectrometry (REMS) can Overcome the Efects of Structural Internal Artifacts and Evaluate Bone Fragility Accurately”

Hotaka Ishizu1,2 · Tomohiro Shimizu1 · Yuki Sakamoto3 · Fumi Toyama4 · Keita Kitahara1,2 · Hiroki Takayama2 · Moritaka Miyamoto2 · Norimasa Iwasaki1

1 Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-Ku, Sapporo, Hokkaido 060-8638, Japan
2 Department of Orthopaedic Surgery, Iwamizawa Hokushokai Hospital, Iwamizawa, Hokkaido, Japan
3 Department of Radiological Technology, Iwamizawa Hokushokai Hospital, Iwamizawa, Hokkaido, Japan
4 Department of Nursing, Iwamizawa Hokushokai Hospital, Iwamizawa, Hokkaido, Japa

Highlight:

REMS overcome DXA limitations due to the presence of artifacts, it is confirmed by a recent Japanese study published the last December by Calcified Tissue International, an important international scientific journal.

Seventy osteoporotic patients underwent both the ionizing DXA and the ultrasonographic REMS (Radiofrequency Echographic Multi Spectrometry) examinations. The results of the study recognize REMS superiority with respect to DXA, thanks to its capability to automatically exclude artifacts (prosthesis, fractures, calcifications, osteophytes, etc.), unlike DXA, which allows only to manually exclude artifacts by consequently inducing human error that can alter the diagnostic result, making the patient be healthier than he really is. This study documents, in fact, the presence of multiple vertebral fractures and vascular calcifications   in patients presenting discrepant diagnoses between REMS and DXA.

The Japanase researchers conclude, therefore, that REMS offers a more accurate measurement of bone health than DXA, by preventing bone degeneration, abdominal aorta calcifications, diabetes mellitus and all other pathologies that can cause damage to the bone.

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