Where to have REMS scan

Posted by blackwood @blackwood, Jun 17, 2025

Has anyone had a REMS scan at the USF Health Diabetes and Endocrinology Center in Tampa? I am trying to find a place that has these scans close to Tallahassee, Florida . DEXA shows severe osteoporosis in spine, femoral neck and left hip (didn't scan the right). Reading different studies cause me to question the complete picture given by a DEXA.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

Profile picture for robinleebru @robinleebru

Yes, I did receive a REMs report after my test, but I wanted to have their clinician at the USF OP Clinic compare my Dexa of Oct. 24 that was done 3 months post my T12 fracture after a bad fall in June of 24 to the REMs test of May 25. I wish to understand the true severity of my OP and to receive a second opinion. I have found that the medical doctors I have encountered locally near my home have very little understanding of OP outside of writing a prescription. Thru my research, I discovered that USF Endocrinology and Diabetes Dept. In Tampa, FL. are studying this condition and are open to other ways of diagnosing it and treating it. I seek to understand all information about my condition and all options open to me regarding treatment.

Jump to this post

Did your insurance pay for your REMS test. I've been paying $275 each time.

REPLY
Profile picture for drsuefowler @drsuefowler

Did your insurance pay for your REMS test. I've been paying $275 each time.

Jump to this post

So far my insurance has paid. But I have straight Medicare with a supplement. Not sure if that is why. If you get a referral to USF Endocrinology and Diabetes Center and they are in your network, I would think it would be covered. But you would need to check with your insurance to be sure.

REPLY
Profile picture for drsuefowler @drsuefowler

Did your insurance pay for your REMS test. I've been paying $275 each time.

Jump to this post

I see the name “Fowler” in your post…..my maiden name is Fowler…..my father’s family is from TN originally! ☺️

REPLY
Profile picture for robinleebru @robinleebru

I see the name “Fowler” in your post…..my maiden name is Fowler…..my father’s family is from TN originally! ☺️

Jump to this post

Fowler is my husband's name. He says his family is from "all over". Thanks for your posting about USF. I called there and learned I had to be referred.

REPLY

Anyone in Southern Minnesota around Mankato had a REM ? Wondering where and if accurate?

REPLY
Profile picture for drsuefowler @drsuefowler

I have had 3 REMS tests in Naples FL. It is called screenmybones. I do not recommend going there. They don't seem to know much, and were not able to compare scan results. I had to figure out myself what my results meant and what changes were significant. Also, I don't know if I can even trust the REMS results, as they were so different from my DEXA results.

Jump to this post

@drsuefowler Quick clarification for anyone reading: REMS and DEXA are expected to disagree. DEXA over-reads after age 50 because osteoarthritis, aortic calcification, and old vertebral compressions inflate the T-score — that's documented in every ISCD position statement. REMS (FDA-cleared, Echolight) measures bone quality on top of density and its Fragility Score has been validated as a better predictor of actual fractures (Diez-Perez et al., Bone 2019). So a "worse" REMS isn't the machine being wrong — it's usually DEXA being falsely reassuring.

I've been a client of this practice since day one — back as ScreenMyBones / Strength Lab, now Halle (gethalle com) — and the current service includes REMS with serial-scan comparison, sarcopenia testing (which most U.S. providers ignore despite muscle being a major fracture predictor), and a personalized plan. They also collaborate with Dr. Doug Lucas and Dr. Vonda Wright. My experience has been consistently excellent.

REPLY

DEXA said my back was "normal". However, I have substantial spine damage and neurologist advised the DEXA was unreliable and reflected better bone values than exist. He was quite correct. Had a REMs scan that reads lumbar: values were a range of -3.1 thru -3.3 for L1 thru L4. No readings available for cervical or thoracic which apparently cannot be read with REMs. My wrist had a DEXA reading of -3.3. I have disc herniations C1 thru T1 up and down my spine and yet DEXA could not provide a reliable reading. I just had an MRI that revealed a prior fracture in C1-C2. Needs surgery. Hips were bilaterally replaced years ago. So much for relying on DEXA. Awaiting a CT scan.

REPLY
Please sign in or register to post a reply.