A theoretical "control-rate" "mtof" object would take its input value and compute a frequency value once every block when DSP is turned on.
But that's not what "mtof" does. Instead, it computes the frequency for an inputted MIDI value at the time it receives that value. That time could be once every block, once a minute, a single time when I load the program, at random intervals on Tuesday, or even never.
The thin line boxes constitute a kind of visual procedural scripting language. Kind of like shell scripting if pipes could have multiple prongs fanning out into multiple destinations.