@goseve
Because this research is so new it looks like this might just be a difference in old conservative thinking and newer research and implementation of new research.
Seems that in the research context that Rems can be manually set to check the bone in the hip. Commercial rems is limited by the existing machines, existing software and lack of technician knowledge.
BUT.....
This is something that can be changed it just needs time.
BUT.....
For you.... here is what copilot suggested for your peace of mind:
IF her goal is:
“Is the bone holding my prosthesis strong enough?”
This is the most direct, precise, and surgeon‑trusted method available today.
CT‑Based Periprosthetic Bone Density Analysis (the gold standard)
What it does:
A CT scan can:
• Visualize the bone immediately surrounding the stem and cup
• Measure bone density in Hounsfield Units (HU)
• Detect early bone loss (osteolysis)
• Show whether the stem is well‑fixed or loosening
• Evaluate cortical thickness and trabecular quality
• Compare left vs right sides
• Track changes over time
Why it works
CT does not need to “see through” the metal — it uses metal‑artifact reduction algorithms that allow the radiologist to evaluate the bone around the implant.
What she would ask for

Surgeons order this all the time when they want to check implant stability.