Observational longitudinal studies have further evaluated REMS T-score performance in the identification of patients at risk for fragility fracture. Specifically, in Adami et al., a group of more than 1.500 patients has undergone both DXA and REMS scans. Afterwards, these patients have been monitored for a period up to 5 years in order to estimate the incidence of fragility fractures in relationship with the T-score values previously obtained with both technologies. The study has demonstrated that REMS T-score is an effective parameter for the prediction of the occurrence of fragility fractures, leading the authors to positive conclusions about the effectiveness of REMS technology in the identification of patients at risk for osteoporotic fracture.