The Paradigm Shift in Diagnostic and Theranostic Medicine
- Richard M Fleming, PhD, MD, JD

- Oct 21
- 3 min read
Updated: Oct 25
A decisive advancement in medical science has arrived — the first major leap forward in diagnostic and theranostic medicine in more than a century. FMTVDM FRONTIER, built to detect and quantify the biological signatures of InflammoThrombotic Immunologic Response Diseases (ITIRD) using ITIRD-aware protocols and A.I.2 proprietary equations, transforms nuclear imaging from an interpretive art into an exact, machine-calibrated science. Nations that adopt this paradigm leap forward through licensure of FMTVDM FRONTIER will gain a calibrated national diagnostic database, lower healthcare cost and burden, accelerate safe deployment of new therapies, and measurably reduce morbidity and mortality.
The Problems with Current Methods
• Qualitative imaging yields variable, observer-dependent conclusions that cannot be traced to an absolute standard. Hence iatrogenic errors are made in finding (sensitivity) and excluding (specificity) health problems AND treating health problems.
• Semi-quantitative SUVs are time-dependent models referenced to presumed normal tissue and body metrics that are not traceably calibrated to physical standards.
• Both approaches fail to quantitatively calibrate imaging hardware, fail to resolve meaningful regional metabolic and blood flow differences caused by ITIRD, and therefore compromise objective decision making and reliable AI deployment.
These failures leave entire populations subject to diagnostic blind spots, delayed therapy evaluation, and inconsistent outcomes.
What FMTVDM FRONTIER Does Differently
• Quantitative, traceable calibration: Cameras are calibrated to absolute standards traceable to national metrology and fundamental quantum mechanics - i.e. physics.
• ITIRD-aware differentiation: Protocols and proprietary equations explicitly model InflammoThrombotic Immunologic Response (ITIR) pathways to isolate regional metabolic and perfusion changes driven by inflammation, thrombosis, and immune signaling; all of whiich are critical in understanding differences between viable tissue, infectious diseases, vascular diseases (coronary artery disease, peripheral vascular disease, strokes, et cetera), autoimmune disorders, cancers and more.
• Enhancement and objective quantification: Regional metabolism and blood flow differences are enhanced and measured, not inferred, enabling reproducible detection of disease signatures across machines, sites, and time. The current FMTVDM FRONTIER protocols produce enhancements of 250% over prior FMTVDM enhancement.
• A.I.2 proprietary integration: Advanced proprietary algorithms convert standardized, calibrated outputs into actionable metrics for diagnosis, progression tracking, and treatment response. This is done through a series of both actual (human) intelligence and artificial (computer driven) intelligence, with computer driven intelligence driven by human intelligence and proprietary equations, not vice-versa.
• Machine-to-machine objectivity: Results are derived from objective, repeatable M2M processes that eliminate subjective interpretation as the primary determinant of care.
Why This Matters for Public Health and National Strategy
• Faster, safer evaluation of new treatments: Quantitative endpoints reduce trial time and variability, enabling rapid, evidence-based adoption or rejection of therapies.
• Lower healthcare costs: Objective measurement enables earlier intervention, fewer unnecessary procedures, and tighter outcome-driven resource allocation.
• Reduced morbidity and mortality: Detecting and quantifying ITIRD effects early preserves organ function and prevents cascade events driven by unchecked inflammation, thrombosis and immune responses.
• National-level intelligence: A standardized national database built on calibrated quantitative imaging creates an epidemiologic asset that supports public health planning, targeted interventions, and A.I.2 models trained on true absolute values.
• Economic and scientific leadership: Early adopters establish standards, intellectual advantages, and clinical-data leadership that attract research, industry investment, and global partnerships.
Comparative Clarity
• Current practice: Qualitative and semi-quantitative methods produce inconsistent literature results, calibration errors, subjective interpretation, and AI models that inherit sensitivity and specificity errors.
• FMTVDM FRONTIER: Delivers reproducible, absolute metrics with traceable calibration and A.I.2-ready inputs that improve accuracy, objectivity, and clinical utility.
Implementation Roadmap for Nations
1. Commit to national calibration standards
◦ Adopt camera calibration protocols traceable to national metrology and mandate interfacility verification.
2. Deploy FMTVDM FRONTIER protocols
◦ Standardize acquisition, enhancement, and conversion equations across public and private imaging centers.
3. Integrate A.I.2 engines with governance
◦ Use proprietary equations under secure governance to convert calibrated images into standardized biomarkers.
4. Build the national quantitative database
◦ Aggregate de-identified, calibrated metrics to enable population surveillance, outcome tracking, and rapid trial-readiness.
5. Train clinicians and regulators
◦ Deliver focused training to interpret quantitative biomarkers and to adopt new endpoints for approval and reimbursement.
6. Measure impact and iterate
◦ Track diagnostic concordance, time-to-treatment, cost-per-outcome, and morbidity trends and refine protocols to maximize public health benefit.
Call to Action
Adopting FMTVDM FRONTIER is a strategic, clinical, and ethical imperative. Countries that act now will close the century-old gap between measurement and meaning in nuclear medicine, gain a national asset that powers faster, cheaper, and safer healthcare, and lead the global transition from subjective imaging to calibrated, A.I.2 amplified precision. Commit to standardized calibration, deploy ITIRD-aware quantitative protocols, and build the national database that will turn a century of incremental improvements into a single transformative step forward.





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