{"id":"W1488391809","doi":"10.3171/2014.3.jns131679","title":"Endoscopic endonasal transsphenoidal approach to large and giant pituitary adenomas: institutional experience and predictors of extent of resection","year":2014,"lang":"en","type":"article","venue":"Journal of neurosurgery","topic":"Pituitary Gland Disorders and Treatments","field":"Medicine","cited_by":241,"is_retracted":false,"has_abstract":true,"ca_institutions":"Mount Sinai Hospital; Toronto Western Hospital; University of Toronto; University Health Network","funders":"","keywords":"Medicine; Transsphenoidal surgery; Surgery; Pituitary adenoma; Pituitary tumors; Endoscopic endonasal surgery; Craniotomy; Adenoma; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0002011789,0.0001080744,0.0003694449,0.0002306105,0.0000488084,0.000005487879,0.00004042951,0.00004133287,0.00000699169],"category_scores_gemma":[0.0001270662,0.00008012114,0.00008209464,0.0001271909,0.0000971461,0.0001415173,0.00002073712,0.0001122545,1.350727e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00001280049,"about_ca_system_score_gemma":0.00006734338,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001412226,"about_ca_topic_score_gemma":0.000001485138,"domain_scores_codex":[0.9988964,0.00005168979,0.0004533789,0.000140519,0.000315693,0.0001423008],"domain_scores_gemma":[0.9993922,0.00007656701,0.000176949,0.00009373495,0.00007828225,0.0001822778],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001273051,0.00133676,0.9587838,0.0002926913,0.0001202594,0.00009357359,0.001347163,0.00005897507,0.03372785,0.0002414488,0.0001915339,0.002532917],"study_design_scores_gemma":[0.002627609,0.001551765,0.9915115,0.0001548444,0.0000845,0.0005284014,0.0001849503,0.0001614415,0.002617874,0.00005699274,0.000464051,0.00005608896],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9967167,0.0009996824,0.001430996,0.00009524579,0.0002801444,0.0001361671,0.00001626097,0.000003939428,0.0003208693],"genre_scores_gemma":[0.9990183,0.0002899088,0.0004627006,0.0000982857,0.00009841441,0.000004103731,0.000003369957,0.000007406571,0.00001749608],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.0327277,"threshold_uncertainty_score":0.3267246,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01594100866678589,"score_gpt":0.2441844335469611,"score_spread":0.2282434248801752,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}