The Mask Is Not the Model: MMIR-TCM Makes Clinical Memory Inspectable
TL;DR for operators How should a clinical AI system move from a noisy image to a recommendation without hiding every judgment inside one model? The practical answer is to separate image standardization, structured interpretation, retrieval, and recommendation generation so each stage can be inspected, corrected, and validated independently. MMIR-TCM’s strongest evidence comes from removing those supports one at a time. Clinical-case memory produced the largest overall loss in prescription reasoning when removed. Formal diagnostic-theory memory mattered most for syndrome differentiation, while removing tongue findings particularly weakened prescription generation. By contrast, tongue segmentation—the architecture’s most visible component—improved semantic performance only modestly. ...