Position: Biosafety-Critical Adjacent Technologies are Critical for Scalable and Safe Clinical Multi-modal LLM Deployment

Rise of Multimodal Large Language Models (MLLMs) marks a paradigm shift in healthcare, with the potential to revolutionize diagnostics, personalized medicine, and predictive analytics. Yet, the transformative power of MLLMs cannot be realized in isolation. In this position paper, we argue that clinical impact of AI hinges not only on the models themselves but on an integrated ecosystem of enabling technologies that ensures bio-safety and governance. These include high-fidelity data curation pipelines, multimodal data lakes, model monitoring and audit tools, secure API infrastructures, workflow orchestration layers, and seamless connectors to Electronic Health Record and Picture Archiving and Communication System platforms. Far from being peripheral, these adjacent technologies are forming a critical foundation for scalable, safe, and trustworthy clinical deployment. As this ecosystem rapidly matures into a distinct sector within digital health, strategic investment and cross-disciplinary collaboration will be essential for healthcare systems and technology vendors aiming to harness the full value of MLLMs in real-world settings.