I was just going over this same thought process with my MD. I am "in Flare" but my MRI remains the same as last time. He said someday our technology will catch up with our bodies. If we slide someone into an open MRI we may see one or two lesions. if we slide them into a closed MRI we may see 12. If we slide them into the big boy 6 or 7 Telsa, we may see hundreds! Till the day that the technology catches up with what the human body is capable of doing to itself, its a "best guess" scenario in so many cases.
I do hope you can get the answers you seek. Its awful to feel bad, and not have any evidence to back up the questions with some answers.