To add to what Epsilon said, and because I can barely see it in the pictures even when I know what's there:
An 'ordinary' MCPCB has a very thin fiberglass printed circuit board (PCB) laminated to a metal substrate or core (MC). The center thermal contact of the led would get soldered to a copper pad in the center of the PCB. Then there's a layer of fiberglass board between that and the core. That thin layer has poor thermal conductivity, and almost all the heat has to pass through it. It's very thin though, so in 'normal' applications it's not a problem. These boards are most often done in aluminum because it's cheaper, though copper ones are available (copper has about double the thermal conductivity of aluminum).
An improvement on this is to cut a hole in the fiberglass where the thermal pad is, and fill the hole with solder. Now the LED thermal pad is soldered directly to the core. Solder has a thermal conductivity many times that of fiberglass, so this is a notable improvement.
There's one more improvement that can be made. Copper has thermal conductivity about 8 times better than solder (depending on the alloys). So filling the hole with copper is even better. This is done by deforming the core in a press, so that the core material protrudes into the hole.
Since these improvements are only done for the highest performance levels, AFAIK, they are only done with copper. Also, soldering to aluminum is very difficult, so another reason for only doing it with copper.
All of these are MCPBC's, but with increasing complexity, cost, and performance.
Disagreeing just a bit with Epsilon, 'Sinkpad' is a protected brand name like 'Kleenex', not a generic term like 'facial tissue'.
I'm sure someone will correct me if I'm wrong about this (90 seconds on Google didn't confirm this), but I believe Sinkpads are the once improved technology, where Noctigon makes some parts once improved and some with the doubly improved design. They might even make 'ordinary' copper MCPCB's. Caveat Emptor.