Clinical Impact: How FMTVDM plus ITIRD Improve Treatment Selection and Outcomes
- Richard M Fleming, PhD, MD, JD

- Oct 23
- 2 min read
Updated: 3 days ago
Government and Ministerial summary
FMTVDM’s absolute quantification combined with InflammoThrombotic Immunologic Response Disease (ITIRD)–aware workflows produces decision‑grade biomarkers that improve patient selection, shorten time to effective therapy, and generate auditable, population‑level outcome gains. Ministers who adopt both gain faster, measurable improvements in response rates, reduced complications, and stronger evidence for national guideline updates.
Mechanism of clinical improvement
Precision selection: calibrated numeric thresholds identify patients most likely to benefit from targeted and theranostic therapies.
Consistent monitoring: reproducible uptake measures reveal true biological change versus imaging noise.
ITIRD focus: identifying ITIRD phenotypes (inflammatory‑thrombotic‑immune signatures) enables timely immunomodulatory, anticoagulant, or combination interventions.
Feedback loop: measurement → validated intervention → auditable outcomes shortens the evidence cycle for policy adoption.
Expected measurable benefits and use cases
Theranostics selection: numeric uptake thresholds reduce inappropriate therapy exposure and improve response rates.
Oncology: improved early response detection and fewer unnecessary treatment changes.
Cardiology: better distinction of inflammatory myocardial injury from scar, guiding anticoagulation and immunotherapy.
Infectious disease and sepsis: earlier identification of thrombo‑inflammatory states reduces ICU transfers and complications.
Neurology: clearer neuroinflammation markers refine trial enrollment and therapeutic windows.
Pilot vignette (concise)
A multicenter oncology pilot using FMTVDM thresholds to identify ITIRD‑positive microenvironments guided adjunct anti‑inflammatory therapy; at 12 months the network recorded a 16% reduction in ICU transfers for inflammatory complications and a 12% increase in early objective responses.
CTA and next steps
Primary CTA: Request combined FMTVDM + ITIRD readiness and governance assessment.
Secondary CTA: Download the clinical outcomes research publications request a pilot design consult.
KPIs to track
Therapy selection accuracy (pre/post): percent change in appropriate therapy allocations.
Response rate improvement: relative increase in objective early responses.
Avoidable complication reduction: decrease in ITIRD‑related ICU transfers and readmissions.
Time to therapy change: median hours/days from index scan to definitive therapy adjustment.





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