I was browsing Amazon and I noticed that when searching "1TB" if you hover the mouse cursor over the stars rating image, you only see the score if using IE. If you are using another browser then the score won't show.
A rating of 3.8 and a rating of 4.2 both show up as 4 stars. Of course a 3.8 stars vs 4.2 stars (76% vs 84% score) could make a difference!
This is because the standard way of displaying alt text is only when the user turns off graphics or when the browser is "read out" (e.g browser for users who are visually  impaired).  IE however, shows it on hover.
So I think if Amazon is to show it regardless of the user's browser, then title should be used in addition to alt. Would you agree?