The R in RDSB means "remote". You set up a bucket of sand seperate from the display, but with the system water flowing across the top of the bucket. Benifit being that if you have problems with it, or want to perodically replace it, it is easy to take it off line, toss the sand, and replace if you choose to.
Personally, I guess I'm another old fogie stuck in his ways. My sand goes back to 02, but I moved it and added more in 04. So when do I need to replace it?
Seriously though, there are a lot of ways to run a reeftank. There are people who have accomplished amazing things with tanks based around undergravel filters :: .
IMO a lot depends on what you want to do with your system. If your looking for a very low nutrient level, SPS dominated tank, your probably better off with something else such as zevoit or similar methods, or at least banish the sand to a RDSB. For some other set ups (live stock plans that is) a DSB could be an excellent option.
DSB/RDSBs can maintain 0 or very near 0 nitrate levels, but may be prone to some nagging phosphate levels. DSB for nitrate reduction is no myth, BUT there are also other ways.