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

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.

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.

I had my REMS done one year ago in Oregon through Osteostrong. It was very confusing because it showed I was normal in my spine and osteopenia in my hips. I have 6 consecutive years of Dexa Scans showing Osteoporosis in my spine and osteopenia in my hips. I am stable with my scores during this time. I had another Dexa Scan and (new to me) a TBS score done April 2025. Same Dexa Scan scores, but the TBS showed "1.185, which is consistent with degraded architecture". This information led me to work with an Endocrinologist who has been a positive experience to work with. I feel like I have someone with the knowledge and supports me to address the osteoporosis.
I do not consider the REMS to be valid in my situation and do not rely on this.

@marynh My TBS scores is very similar to yours. I'm curious if you've been able to improve your TBS scores with any medication? Have you ever fractured? My TBS came as a big surprise since I though I only had osteopenia on the verge of osteoporosis.

@soggybones It was the TBS score that prompted me to see an Endocrinologist and I am taking Alendronate daily. My next annual DEXA is May 2026.

@marynh Sorry, I forgot to add that I have not fractured.

69YO active F. My DEXA scores were very low (severe osteoporosis) and my endo refused to include TBS scores with it. I then got a REMS test and I was mild osteopenia. I then got another DEXA from another provider with TBS. DEXA scores are still terrible (and comparable to the first, even though all factors — machine, technician, radiologist--were different from the original scan), but my TBS scores were very good. So no clue what to believe.

@dancinintherain My situation is different. My dexa was good but my Rems was bad. However, Rems includes the quality of your bone which improves your score. The quality of my bone was excellent. Which one to believe?