Abstract
We evaluated confidence gating for multimodal decision support under 46% visual-text disagreement. A deterministic paired simulation generated 64 cases and preserved a median slice. Mean decision consistency changed from 0.522 to 0.558; the paired difference was +0.036 (95% interval +0.034 to +0.038). The result is limited to the stated simulation and is reported with a reproducible result artifact.
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