FMTVDM Explained: Absolute Quantification That Changes Clinical Decisions
- Richard M Fleming, PhD, MD, JD

- Oct 23
- 2 min read
Updated: Oct 25
Government Leaders and Health Ministerial summary
FMTVDM delivers absolute, auditable quantification for PET/SPECT that turns qualitative imaging into precise, reproducible biomarkers. Ministers gain earlier, evidence‑grade decision points for therapy selection, measurable reductions in diagnostic cascades, and stronger national control of clinical standards.
What FMTVDM is
FMTVDM is a measurement‑first platform that standardizes image calibration, acquisition, and absolute tracer quantification across sites. It replaces relative, center‑dependent readings with harmonized numeric biomarkers that are comparable within and between nations.
Why absolute quantification matters
Improved treatment selection: numeric thresholds enable consistent therapy eligibility decisions.
Reproducible monitoring: absolute metrics objectively measure response or progression, reducing ambiguous interpretations.
Faster evidence generation: auditable data shortens validation timelines for new protocols and trials.
Policy alignment: quantifiable endpoints integrate with regulatory and reimbursement decision making.
Clinical and operational impacts
Reduced diagnostic cascades: fewer follow‑up tests from ambiguous reads.
Higher therapeutic precision: better selection for targeted therapies and theranostics.
Shorter time to correct therapy: faster escalation/de‑escalation based on clear numeric change.
Workforce uplift: training focuses on measurement technique and QA rather than subjective interpretation.
Implementation essentials
Mandatory "quantitative" and "qualitative" phantom calibration and periodic revalidation at each site.
On‑site data custody and immutable provenance records for every quantified result.
Local training and certification for technologists, physicists, physicians and clinicians.
Integration with clinical workflows and electronic health records for decision triggers.
Pilot vignette
A single‑site pilot replaced semi‑quantitative reads with absolute uptake thresholds for a targeted therapy cohort. Within 9 months the site recorded a 22% reduction in non‑therapeutic follow‑ups and a 14% improvement in early response detection rates.
Call to Action (CTA) and next steps
Primary CTA: Request A.I.2 Readiness Assessment.
Secondary CTA: Download Ministerial LOI Template.
FAQ
What is the difference between absolute and relative quantification? Absolute gives standardized numeric values; relative relies on local baselines.
How long to see measurable impact? Pilots show measurable changes within 9–24 months depending on scale.
Does FMTVDM require vendor changes? It requires calibration, protocols, and local validation but can often work with existing scanners.
Who signs off clinically? Named institutional PIs and delegated clinicians hold final signoff for action thresholds.
Key Performance Indicators (KPIs) to track
Inter‑site concordance rate for quantified biomarkers.
Reduction in diagnostic cascade volume.
Time to therapy change after FMTVDM.
Local workforce certification rate.





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