R.E.M.S. Technology

Radiofrequency Echographic
Multi Spectrometry

Revolutionary approach for bone micro-architecture characterization
exploiting the radiofrequency signals acquired during an echographic scan.

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More than an ultrasound

The technique overcomes all main DXA and QUS limitations
related to tissue modeling approximation, patient positioning
and image manual segmentation.

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Bone Micro


Accurate. Precise. Reliable.

Clinical validation with +10.000 subjects obtained through
international multi-center studies carried out by the most
important centers of bone health disease in Europe.

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Bone Mineral Density

The medical report contains all the common parameters for
the diagnosis of osteoporosis (BMD, T-Score, Z-Score).

A direct comparison with DXA shows how R.E.M.S. presents
always and by far a superior reproducibility and precision.

Fragility Score

Independent assessment of internal bone structure
to evaluate the risk of fracture in 5 years through
dedicated statistical and spectral analysis.

The products

New Applications

Ongoing developments will focus on arthrosis and sarcopenia making
R.E.M.S. the most advanced technology for musculoskeletal applications.
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Latest Publications

Bone health and Diabetes

Innovative REMS approach on the paradox of diabetic cases Ability of radiofrequency echographic multispectrometry to identify osteoporosis status in elderly women with type 2 diabetes Caffarelli, M.D. Tomai Pitinca, A. Al Refaie, E. Ceccarelli, S. Gonnelli Department...

Prediction of Fragility Fractures

Use of the Fragility Score measured at the femoral neck for the prediction of fragility incident fractures. F.A. Lombardi, P. Pisani, D. Ciardo, M. Di Paola, F. Conversano, S. Casciaro Consiglio Nazionale delle Ricerche, Istituto di Fisiologia Clinica (Lecce)...

How REMS overcomes DXA Artifacts

Could Radiofrequency Echographic Multi-Spectrometry (REMS) overcome the limitations of BMD by DXA related to artifacts? A series of 3 cases Tomai Pitinca M.D., Fortini P., Gonnelli S., Caffarelli C. Siena University - Italy Highlight: This work has been presented at...

REMS on Bone Journal

REMS for the diagnosis of osteoporosis in a European multicenter clinical context Bernard Cortet, Elaine Dennison, Adolfo Diez-Perez, Médéa Loquet, Maurizio Muratore, Xavier Nogués, Diana Ovejero Crespo, Eugenio Quarta, Maria Luisa Brandi Department of Rheumatology...

ISCD 2020

The scientific study winner of the ISCD Abstract Award 2020 "Use of REMS technology in patients with spine artifacts.: A new diagnostic opportunity" M.D. Tomai Pitinca, C. Caffarelli, S. Gonnelli Department of Medicine, Surgery and Neuroscience, University of Siena,...

BMD during Pregnancy

First assessment of maternal status during pregnancy by means of REMS (Radiofrequency Echographic Multi-Spectrometry) technology V.A. Degennaro1, G. Cagninelli1, F.A.Lombardi2, P. Pisani2, F. Conversano2, S. Casciaro2, S. Fieni1, T. Frusca1, T. Ghi1 1Department of...

Assessment of Fracture Risk

Assessment of Fracture Risk through Radiofrequency Echographic Multi Spectrometry (R.E.M.S.) based Bone Mineral Density E. Kirilova1, N. Kirilov2, I. Popov1 1University “Prof. Dr. Assen Zlatarov”, Burgas, Bulgaria2Medical University of Sofia, Sofia, Bulgaria Ortho...

ASBMR 2020

New scientific studies presented at the ASBMR American Society for Bone and Mineral Research Congress 2020:   1. A novel non-ionizing technology for bone densitometry and fracture risk prediction Conversano, D. Ciardo, F.A. Lombardi, P. Pisani, S. Casciaro...

EULAR 2020

Main scientific studies presented at the European Congress of Rheumatology 2020   1. Influence of the variation of the operator, patient position and device on the measurement performance of R.E.M.S Caffarelli, G. Adami, G. Arioli, G. Bianchi, M.L. Brandi, S....

Osteoporosis & BMI

A REMS Scan-Based Report on Relation Between Body Mass Index and Osteoporosis in Urban Population of Medan at Royal Prima Hospital Adrian Khu,1 Michael Sumardi 2 MKB 2020; 52(1):22–7 Highlight: Bone mineral density (BMD) has many predisposition factors. Of those, body...