Operational Roadmap: Deploying FMTVDM and ITIRD at National Scale

Government and Ministerial summary

A phased national deployment preserves measurement integrity and sovereignty while accelerating capability. The roadmap sequences readiness scoring, calibrated pilots, governance provisioning, scale‑up, and regional leadership steps so ministries can reliably achieve a measurable 5+ year head start in outcomes.

Phase 1 — Readiness and pre‑assessment

• Inventory: scanners, staff, IT, and sample volumes.

• Governance nomination: institutional PI, ministerial delegate, and technical champion.

• Pre‑assessment deliverable: readiness score, gaps, estimated timeline, and pilot cohort suggestion.

Phase 2 — Pilot commissioning and calibration

• Reference site selection: single calibrated scanner with phantom baselines.

• Protocol lock: harmonized acquisition and reconstruction parameters.

• ITIRD alignment: define ITIRD diagnostic thresholds, lab panels, and clinical decision pathways.

• Training: mandatory certification for technologists, physicists, and clinicians.

Phase 3 — Validation, governance, and evidence generation

• Cross‑site concordance: inter‑site comparisons and statistical validation.

• ITIRD validation cohorts: confirm thresholds across demographics and comorbidities.

• Governance board: change control, update approval, and ministerial reporting cadence.

• Public summary reporting: independent validation publications and policy briefs.

Phase 4 — Scale and regional leadership

• Cascade training: reference center mentors partner sites with calibrated kits.

• Operational independence: on‑site data custody, escrowed keys, and local validation labs.

• Regional hosting: offer training, trials, and validation studies to neighboring nations.

Pilot vignette (concise)

A country completed a 9‑month reference pilot, validated ITIRD thresholds across two partner sites, and scaled to five sites within 18 months—achieving inter‑site concordance >90% and a validation brief.

CTA and next steps

• Primary CTA: Request an SNS pre‑assessment that includes FMTVDM calibration and ITIRD cohort design.

• Secondary CTA: Determine operational checklist and pilot protocol template.

KPIs to track

• Time to calibrated clinical use from procurement.

• Inter‑site concordance percentage for core biomarkers.

• Number of certified personnel and trained partner sites.

• Publication/validation output count and time to public report.

Operational roadmap showing phased national deployment of FMTVDM and ITIRD: readiness → calibrated pilot → validation and governance → scale and regional leadership, with milestones and expected timelines.