FAQ
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Your questions, answered—so you can feel clear and confident on your bone health journey.
REMS technology
What is Echolight REMS technology, and how is it different from a DXA scan?
REMS (Radiofrequency Echographic Multi Spectrometry) is an advanced ultrasound technology that measures both bone density and bone quality—giving a more complete picture of your bone health than a standard DXA scan.
While DXA primarily measures density, REMS adds a Fragility Score (a measure of bone quality) and calculates your 5-year fracture risk, all without radiation.
In short: DXA shows you density. REMS shows you density + quality + risk—radiation-free.
Is REMS better than DXA?
In many ways, yes.
- More complete: Measures bone density and bone quality
- More predictive: Fragility Score helps estimate fracture risk better than density alone
- Radiation-free: Safe for more people, more often
- Highly reproducible: Ideal for tracking changes over time
Quick Comparison: REMS vs. DXA
Feature | REMS | DXA |
|---|---|---|
Radiation | None | Low-dose X-ray |
Measures | Density + Quality | Density only |
Fragility Score | Yes | No (needs extra software) |
Fracture Risk | Yes (5-year risk) | Limited |
Tracking Changes | Highly sensitive | Less sensitive |
Safe for | Most people (including pregnant, younger, scoliosis) | Limited groups |
Why is the Fragility Score important?
Bone density alone doesn’t tell the full story. Some people with low density never fracture, while others with normal density do. The Fragility Score measures bone quality, helping predict fracture risk more accurately. Combined with your bone density, it generates your 5-year fracture risk, which is far more meaningful than a T-score alone.
Is REMS safe?
Yes. REMS is FDA-cleared and completely radiation-free, making it safe for frequent use and for people who may not be candidates for DXA (such as younger individuals, pregnant patients, or those with scoliosis or osteoarthritis).
Where can I learn more about REMS?
You and your healthcare provider may review scientific studies supporting REMS and comparing it to DXA on our website at www.PrecisionBoneImaging.com/science. In addition, Echolight, the European company behind REMS, has extensive research and resources. Visit: Echolight Medical
REMS appointments
Can my scan be covered by insurance?
We don’t work directly with insurance at this time, so full payment is required to book your appointment.
However, you may be able to get reimbursed. Echolight provides a reimbursement guide you can submit to your insurance plan:
What’s the difference between a single scan and the Bone Health Blueprint?
- A single scan gives you a snapshot of where your bone health stands today.
- The Bone Health Blueprint includes multiple scans, expert education, and a step-by-step plan so you can take action and track your progress over time.
How does PBI support me beyond the scan?
Your scan is just the start. Through follow-up assessments, the Bone Health Blueprint, and access to trusted education and resources, we help you make informed decisions about nutrition, exercise, supplements, and more.
How often should I get scanned?
Most people benefit from a baseline scan and a follow-up in 6–12 months.
If you’re making lifestyle changes or want to closely monitor progress, the 3-scan package or Blueprint is ideal.
How soon do I get my results?
Right away. You leave your appointment with your results and also receive a digital copy via email.
Do I need a doctor’s referral?
No referral is needed. If you’d like, we can also send your results directly to your healthcare provider.
How do I schedule an appointment?
Click the “Book Your Appointment” button on our site, select your date, location, and time, complete the form and payment—you’ll get a confirmation email with all the details.
How do I prepare for my scan?
- Arrive 10 minutes early
- Empty your bladder/bowels
- Wear loose clothing (abdomen and upper thighs must be accessible)
- Avoid food and drink for 2–3 hours before your scan (gas can interfere with imaging)
How long does a REMS appointment take?
Plan for about 30 minutes. The scan itself only takes a few minutes per area (spine and hip), and results are given on-site.
Is a REMS scan uncomfortable?
No. Most people find it comfortable. If you have abdominal sensitivity, you might feel slight pressure during the spine scan.
Can I have a REMS scan after a hip replacement or spine surgery?
Yes—with limitations. We scan the non-replaced hip, and for spine surgeries, please inform the technician about hardware or fractures.
How do I know which option is right for me?
If you’re looking for a starting point, go with a single scan.
If you want guidance, tracking, and expert support, choose the Bone Health Blueprint.
Still have questions?
We’re here to help—reach out and our team will get back to you shortly.
