Has anyone had a rems bone scan or tbs bone scan?

Posted by jimr33 @jimr33, Nov 11, 2024

I have poor dexa bone scan results, but have heard that rems scans and tbs (trabecular) bone scores can give you a better overall bone health picture. But both, especially rems are pretty new and I wonder if anyone has been able to have one and if their insurance accepts?

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Profile picture for hungrybirder @hungrybirder

That’s an interesting thought. My two scans were vastly different and having had 5 annual dexa scans (same hospital, same machine) one with TBS, I believe the unreliable one was the REMS. I’ll know more when this year’s scan takes place.

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I trust my REMS scan more, since it measures bone quality and microarchitecture as well as density. Plus it’s safer ( no radiation)
DEXA is useful, but its ties to the pharma system make me cautious.

I’ll be interested to hear how your next scan turns out.

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Profile picture for marynh @marynh

I really wanted the REMS to be correct as it was such a good report. However, that was why I went to a different facility in April 2025 to include the TBS score with my Dexa Scan. I was very interested to see which way the TBS would report, but sadly, also indicated degraded architecture.

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Well, I hope it all works out for you — thank you for sharing your experience.
Keep lifting weights stay strong

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