Radiofrequency echographic multi spectrometry (REMS) in the diagnosis and management of osteoporosis: state of the art.

IF 3.4 3区 医学 Q2 GERIATRICS & GERONTOLOGY Aging Clinical and Experimental Research Pub Date : 2024-06-21 DOI:10.1007/s40520-024-02784-w
Nicholas R Fuggle, Jean-Yves Reginster, Nasser Al-Daghri, Olivier Bruyere, Nansa Burlet, Claudia Campusano, Cyrus Cooper, Adolfo Diez Perez, Philippe Halbout, Tullio Ghi, Jean-Marc Kaufman, Andreas Kurt, Radmila Matijevic, Regis P Radermecker, Sansin Tuzun, Nicola Veronese, Rene Rizzoli, Nicholas C Harvey, Maria Luisa Brandi, Maria-Luisa Brandi
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Abstract

Radiofrequency Echographic Multi Spectrometry (REMS) is a radiation-free, portable technology, which can be used for the assessment and monitoring of osteoporosis at the lumbar spine and femoral neck and may facilitate wider access to axial BMD measurement compared with standard dual-energy x-ray absorptiometry (DXA).There is a growing literature demonstrating a strong correlation between DXA and REMS measures of BMD and further work supporting 5-year prediction of fracture using the REMS Fragility Score, which provides a measure of bone quality (in addition to the quantitative measure of BMD).The non-ionising radiation emitted by REMS allows it to be used in previously underserved populations including pregnant women and children and may facilitate more frequent measurement of BMD.The portability of the device means that it can be deployed to measure BMD for frail patients at the bedside (avoiding the complications in transfer and positioning which can occur with DXA), in primary care, the emergency department, low-resource settings and even at home.The current evidence base supports the technology as a useful tool in the management of osteoporosis as an alternative to DXA.

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骨质疏松症诊断和管理中的射频回声多谱勒测定法(REMS):最新进展。
射频超声多谱勒技术(REMS)是一种无辐射的便携式技术,可用于评估和监测腰椎和股骨颈的骨质疏松症,与标准的双能 X 射线吸收测量法(DXA)相比,它能更广泛地测量轴向 BMD。越来越多的文献表明,DXA 和 REMS 测量的 BMD 之间有很强的相关性,还有更多的工作支持使用 REMS 脆性评分预测 5 年骨折情况,该评分提供了骨质的测量方法(除了 BMD 的定量测量方法外)。该设备的便携性意味着它可以在床边(避免了 DXA 在转移和定位时可能出现的并发症)、初级保健、急诊科、低资源环境甚至在家里为体弱患者测量 BMD。
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来源期刊
CiteScore
7.90
自引率
5.00%
发文量
283
审稿时长
1 months
期刊介绍: Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.
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