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README.md
# MCP Medical Imaging

MCP server that routes medical questions and images to **MedGemma** models hosted on **Vertex AI**.

* **answer_med_text** → MedGemma-27B (text-only)  
* **answer_med_image** → MedGemma-4B-IT (multimodal)

## Quick start

```bash
# 1. Install deps
npm install

# 2. Configure env vars (see .env.example)
export VERTEX_PROJECT=your-gcp-project-id
export ENDPOINT_27B=1234567890123456789
export ENDPOINT_4B=9876543210987654321

# 3. Run in dev mode (stdio+HTTP on :4000)
npm run dev
```

Add this to Claude Desktop `servers.json`:
```jsonc
{
  "id": "medgemma",
  "name": "MedGemma Vertex",
  "transport": "http",
  "url": "http://localhost:4000/mcp"
}
```

## Publishing

The package is automatically compiled on `npm publish` (see `prepublishOnly`).

```bash
npm login   # once, with your npm credentials
npm version patch   # bump version
npm publish --access public
```

## License

Code: Apache-2.0.  MedGemma model usage subject to Health AI Developer Foundations license.