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From what I understand, the only sure way to tell if bones mets has healed up into scar tissue is to have a pet/ct scan done. The ct scan pinpoints the scar tissue, and the pet scan determines if it lights up as active bone mets.
That's what it took for me to show NED in my bone mets. The bone scans couldn't differentiate between active bone disease and healed up scar tissue.
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