Advanced medical image analysis?
Just ask for it.

MedMCP is an agentic system that runs state-of-the-art medical imaging pipelines from a familiar chat interface. No terminal, no code, just plain language.

Explore the workspace View on GitHub

Demo

MedMCP in action.

A short walkthrough of the workspace and its current capabilities, from a plain-language request to finished, inspectable results.

01

Describe your analysis

Use plain language, the same way you'd explain it to a colleague. No commands, environment management, or programming experience needed.

02

MedMCP plans and executes

MedMCP selects the right tools, sequences them, and handles all the technical details automatically.

03

You approve every action

Before MedMCP touches your data, you see exactly what is about to happen. Approve or reject with a single click. You always stay in full control.


The Agentic System

MedMCP doesn't just answer.
It does the work.

MedMCP is an agent, not a chatbot. It reasons about your goal, sequences the right tools, executes them under your control, and keeps a complete record of everything it did.

Plans multi-step pipelines

From one plain-language goal, it sequences the whole chain (DICOM conversion, skull-stripping, registration, segmentation) in the correct order.

Runs validated tools

It orchestrates trusted, published methods. Nothing is generated at runtime. The intelligence plans; proven tools execute.

Approval-gated execution

Every file operation and tool call is shown for review first. Nothing touches your data until you approve it.

Full provenance & audit

Every approved and rejected action is logged to an append-only record: a complete, reproducible trail of what ran on your data and when.

Learns reusable workflows

Distill any session into a deterministic, replayable pipeline. Run it again on new patients with no model in the loop. The same steps every time.

Batch over cohorts

Bind one workflow to a folder of subjects and process an entire cohort in a single run, with failures isolated per subject and progress streamed live.


Who It's For

Built for the people who
work with medical images.

In the clinic and in the lab, MedMCP makes the field's best imaging tools available to the people who should use them.

Clinician & Radiologist

Research-grade tools, no terminal.

Run validated segmentation, registration, and lesion analysis on your own patients.

"Have this patient's MS lesions grown since their last scan?"
Domain Researcher

Focus on the science, not the setup.

Skip the Python environments and DICOM wrangling, and batch a whole cohort in one request.

"Convert this DICOM series to NIfTI, skull-strip it, and register it to MNI space."

Privacy & Safety

Your data never leaves
your institution.

MedMCP was designed for clinical and translational research environments, where data governance is non-negotiable.

Runs entirely on-premise

The AI model runs on your hardware. No imaging data, patient metadata, or results are ever sent to a cloud service.

You approve every action

Every file operation, every analysis step, every tool call is shown to you before it runs. You stay in full control.

No internet required

After installation, MedMCP does not need an active internet connection to run analyses.

Full audit trail

Every approved and rejected action is logged persistently, giving you a complete record of what ran on your data and when.


Always Getting Better

Built to ride the wave of
open-weight model progress.

MedMCP is built around open-weight models (Muse Glimmer today). However, nothing ties it to a single model. As stronger open models are released, you can move to them and the whole system improves with no extra work on your side.

What requires a frontier cloud model today will soon run on your local hardware. MedMCP is built to make the most of each new generation.

The model and the tools stay separate. Your imaging pipelines are validated once and always behave the same way; a more capable model simply gets better at choosing and running them.

Local model layer · plug-and-play
Devstral Small 2, Qwen 3.6, Gemma 4 Earlier
Muse Glimmer Running now
Next-gen open-weight model Future
Swapping models requires no changes to MedMCP's tools, UI, or workflows.

Our Vision

Make advanced medical imaging
usable by everyone who needs it.

"The tools exist. The methods work. What is missing is the infrastructure to put them in the hands of the people who are best positioned to use them. MedMCP exists to close that gap."

We believe that one of the biggest problems in medical image analysis is the systematic disconnect between well-working tools and the people who need them. No clinician or researcher should need a software engineer to run these pipelines. Our goal is simple: make the field's best methods usable by anyone who needs them, reliably and safely, on their own infrastructure.


Capability Stacks

A growing library of
imaging capabilities.

MedMCP's capabilities are organized into domain stacks. Activate one and its tools appear automatically in the workspace, ready for the agent to plan with. All of this is work in progress: the first stacks are available, they keep evolving, and new ones land regularly.

medmcp-dicom Available

DICOM discovery, NIfTI conversion, and BIDS organisation. The foundation layer every other stack builds on.

ghcr.io/medmcp/dicom
medmcp-neuro-core GPUAvailable

Brain extraction (HD-BET), image registration (ANTs), and whole-brain segmentation (FastSurfer).

ghcr.io/medmcp/neuro-core
medmcp-neuro-ms GPUAvailable

Multiple sclerosis white-matter lesion segmentation and lesion load (LST-AI).

ghcr.io/medmcp/neuro-ms
medmcp-totalsegmentator GPUAvailable

Whole-body segmentation of over 100 anatomical structures in CT and MR images (TotalSegmentator).

ghcr.io/medmcp/totalsegmentator
medmcp-cohort In progress

Clinical cohort assembly, imaging-biomarker stratification, and association analysis (ehrapy).

ghcr.io/medmcp/cohort
In active development
medmcp-spine In progress

Spinal cord segmentation, cross-sectional area, and lesion metrics for spine imaging workflows.

ghcr.io/medmcp/spine
In active development
medmcp-cardiac Coming soon

Cardiac structure segmentation and functional analysis for echocardiography and cardiac MRI workflows.

ghcr.io/medmcp/cardiac
On the roadmap
medmcp-microscopy Coming soon

Cell detection, tissue segmentation, and quantification pipelines for digital pathology and microscopy images.

ghcr.io/medmcp/microscopy
On the roadmap
Need a specific pipeline or modality?
We're expanding the stack library across modalities. Tell us what your group needs prioritized.
Get in touch →

The Team

Built by researchers,
for researchers.

Julian McGinnis

Julian McGinnis

PhD Student

TU Munich · TUM University Hospital · MCML

julian.mcginnis@tum.de
Paul Friedrich

Paul Friedrich

PhD Student

University of Basel

paul.friedrich@unibas.ch

Get involved

Contributions
are welcome.

MedMCP is built in the open, and all of it is work in progress. New tools, new stacks, bug reports, and ideas are all welcome. Reach out for a demo or a chat, or jump straight into the code.

Get in touch Contribute on GitHub