We finally found an MO who allowed my husband to have another Axumin scan to compare progression from a year earlier. He has been on Xtandi almost a year with still slightly decreasing psa (currently 5.5 down from 14.8).
The doc told us the lung and throat lesions were unchanged from the previous two scans but the radiologist report noted some uptake near the neck of the bladder. The MO mentioned this as a concern but then changed his mind as he compared the previous scans for us. He said the uptake was probably from some of the 50 or so brachy seeds implanted nearby ~5 years ago giving off (my word) artifact. The MO said not to worry about this since the psa is still declining.
However, I was flummoxed enough to forget to ask for a copy of the report. Now I will have to spend time getting that and the CD as well to study it for myself.
My question is whether any advanced scan is useful after having brachy or is it just an inexperienced reader?