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.
(Not yet available in USA)

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

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...

ESCEO Consensus Paper

Radiofrequency echographic multi‑spectrometry for the in‑vivo assessment of bone strength: state of the art—outcomes of an expert consensus meeting organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal...

Prediction of fragility fractures

Radiofrequency echographic multi spectrometry for the prediction of incident fragility fractures: A 5-year follow-up study Giovanni Adami1, Giovanni Arioli2, Gerolamo Bianchi3, Maria Luisa Brandi4, Carla Caffarelli5, Luisella Cianferotti4, Davide Gatti1, Giuseppe...

R.E.M.S. compared with DXA

Radiofrequency echographic multispectrometry compared with dual X-ray absorptiometry for osteoporosis diagnosis on lumbar spine and femoral neck Marco Di Paola1,2, Davide Gatti3, Ombretta Viapiana3, Luisella Cianferotti4, Loredana Cavalli4, Carla Caffarelli5,...

BMD at the axial sites

Bone mineral density of lumbar spine and femoral neck assessed by novel echographic approach – Radiofrequency Echographic Multi Spectrometry (REMS) Elena Kirilova1, Nikola Kirilov2, Iliya Popov1, Stoyanka Vladeva3 Published: Clinical Cases in Mineral and Bone...

BMD on patients with rheumatoid arthritis

A novel quantitative method for estimating bone mineral density using B‑mode ultrasound and radiofrequency signals‑a pilot study on patients with rheumatoid arthritis Violeta‑Claudia Bojincă1, Claudiu C. Popescu2, Raluca‑Daniela Decianu1, Andrei Dobrescu1, Șerban...

Radiation-free BMD evaluation

Bone densitometry by radiofrequency echographic multi-spectrometry (REMS) in the diagnosis of osteoporosis Cezary Iwaszkiewicz1, Piotr Leszczyński1, 2 Highlight: This work summarises the present knowledge of the new clinically available method for bone densitometry...