Ultrasound technology for assessing bone density and bone quality of the lumbar vertebrae and proximal femur through a revolutionary approach to characterise bone microarchitecture using radio frequency signals acquired during a simple ultrasound scan. The method overcomes common limitations of DXA (Dual-Energy X-ray Absorptiometry) and is radiation-free.
(In network insurance billing as office visit is available. For those with out of network insurances, we can issue a Superbill)
For those who have had REMS Echolight at an outside facility and would like radiologist to go over their REMS report comparing with their DEXA or other exams
(insurance billing and Superbill available)
For remote video consults, Dr. Krishnan is currently licensed in Alabama, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Guam, Idaho, Illinois, Indiana, Iowa, Kentucky, Kansas, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, West Virginia, Wisconsin, Wyoming.
Radiation-free technology for assessing bone density and quality on the lumbar vertebrae and proximal femur through a revolutionary approach to characterise bone microarchitecture using radio frequency signals acquired during a simple ultrasound scan. The method overcomes all the main limitations of DXA (Dual-Energy X-ray Absorptiometry) and QUS (Quantitative Bone Ultrasound).
The REMS Echolight exam is not currently covered by Medicare and commercial insurances. However, there is a Category III CPT code that is available for this exam, and we can submit to your insurance a claim with this code to inform clinical efficacy, utilization, and outcomes of this technology to help allow future insurance coverage.
The most advanced bone densitometer for bone health assessment for your daily clinical activities.
Through an ultrasound scan of axial anatomical sites such as the spine and femur, this innovative technology allows to measure bone mineral density without using
ionising radiation, by processing a true bone identity card. Besides ensuring a high level of accuracy, it does not require radiological protection, it is easy to use and its distinctive transportability facilitates the use thereof among patients hospitalised with fractures who cannot be transferred and the continuity of care at home.
Furthermore, the absence of radiation allows this method to be used on a
heterogeneous variety of patients, including paediatric patients, patients at risk of secondary osteoporosis, diabetic patients, patients who have undergone cancer treatments and pregnant women.
The first ultrasound system that allows access to prevention, early diagnosis of osteoporosis and monitoring through primary healthcare. EchoS is able to evaluate the state of bone health of people no longer with the use of X-rays, but with a simple ultrasound done directly in the doctor's office or even in your own home.
The lack of radiation and database including those who are 21 years and older, allows early in life screening for osteopenia/osteoporosis to help proactively take early precautionary measures to minimize future risk of fracture and overally live with optimal bone health.
The ultrasound scan lasts just 80 seconds for the spine and 40 for the femur, allowing for accurate prevention, diagnosis and monitoring of bone health without the limitations of patient positioning and manual image segmentation.
The exam produces an immediate medical report which, in addition to including all the most common parameters used in the diagnosis of osteoporosis, BMD (g/cm2), T-Score, Z-Score also includes the independent evaluation of the internal bone structure which provides an frailty index and body composition index.
We are able to provide mobile service for residential homes and facilities, upon request.
Useful to monitor treatment, as it may be possibly detect changes in as early as 6 months (unlike DEXA which may take 1-2 years).
1. Bone Mineral Density (BMD)
This is the actual measurement of bone density, typically measured in grams per square centimeter (g/cm2). BMD is used to determine the T-score and the Z-score.
2. T-Score
This is a numerical value that compares an individual's BMD to the mean BMD value of a large database of healthy 30-year-old women. A T-score with a standard deviation of -2.5 from the mean value indicates
osteoporosis.
3. Z-Score
Similar to the T-score, the Z-score compares an individual's BMD to the BMD of people of the same age and gender.
4. Fragility Score
This is a measure of bone quality, indicating how likely someone is to sustain a fragility fracture. It is derived through statistical calculations using data obtained during the Echolight scan and comparing it to a database
of people with and without fractures.
These data points collectively provide valuable information about bone health,
including the risk of osteoporosis and fragility fractures.
"Could Radiofrequency Echographic Multi-Spectrometry (REMS) Overcome the Limitations of BMD by DXA Related to Artifacts? A Series of 3 Cases: " Journal of Ultrasound in Medicine; 2021.
"Radiofrequency echographic multi-spectrometry for the in-vivo assessment of bone strength: state of the art-outcomes of an expert consensus meeting organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO):' Aging Clinical and Experi-mental Research; 2019.
An advanced quantitative echosound methodology for femoral neck densitometry: Ultrasound in Medicine & Biology; 2016.