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When Medical AI Stops Guessing and Starts Asking

Slides are easy to admire and hard to interrogate. That is the unpleasant little problem behind medical AI. A pathology image can look like a rich source of clinical intelligence, and a large multimodal model can produce fluent comments about what it sees. But fluent comments are not the same thing as medical insight. A model can describe tissue architecture, mention invasion risk, add a treatment-sounding phrase, and still fail at the actual analytical task: asking the right question, finding the relevant evidence, connecting it to a clinically meaningful conclusion, and knowing when it has not seen enough. ...

December 16, 2025 · 16 min · Zelina