TOC and Barry know the answer to this.
My guess: “Back-to-Back” is a flat measurement, easy to read with a gauge or caliper, and critical for proper wheel tracking through the guard (or check) rail and past the frog.
If the wheel flange and profile are close, the (within BtB tolerances) wheel set should work well enough on a G1MRA or NMRA 45mm (1.771") gauge track.
I welcome any corrections or further info.
Hope this helps.
Sincerely,
Joe Satnik
Edit: added “past the” and “(within BtB tolerances)”