{"id":"W1536380524","doi":"10.1111/j.1553-2712.2012.01428.x","title":"Failure of Prospective Validation and Derivation of a Refined Clinical Decision Rule for Chest Radiography in Emergency Department Patients With Chest Pain and Possible Acute Coronary Syndrome","year":2012,"lang":"en","type":"article","venue":"Academic Emergency Medicine","topic":"Phonocardiography and Auscultation Techniques","field":"Medicine","cited_by":10,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Ottawa","funders":"","keywords":"Medicine; Chest pain; Chest radiograph; Emergency department; Acute coronary syndrome; Heart failure; Atrial fibrillation; Myocardial infarction; Radiography; Thorax (insect anatomy); Population; Prospective cohort study; Radiology; Internal medicine; Physical therapy; Cardiology","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.08660108,0.0007315379,0.001285453,0.001410402,0.0006602153,0.002845468,0.001855268,0.001220726,0.0003763994],"category_scores_gemma":[0.2842574,0.00046494,0.001192791,0.001177308,0.001009495,0.0009623579,0.00177692,0.001299126,0.0004023141],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001146697,"about_ca_system_score_gemma":0.002905986,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004836453,"about_ca_topic_score_gemma":0.004682265,"domain_scores_codex":[0.9155349,0.05831793,0.009532924,0.00478108,0.01076231,0.001070922],"domain_scores_gemma":[0.6554759,0.2439119,0.02070471,0.02319613,0.05465979,0.002051566],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001624139,0.0003467998,0.9472315,0.0002523359,0.0005343092,0.0001857869,0.001027221,0.003593062,0.0006538464,0.0003051786,0.001144654,0.04310125],"study_design_scores_gemma":[0.001031224,0.003145108,0.884574,0.0009564168,0.0009858182,0.001428018,0.00138474,0.09376236,0.00536633,0.0009674244,0.00624607,0.0001524781],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9800976,0.001139851,0.01453753,0.0004152547,0.0002034277,0.0008179665,0.0006108222,0.0001099598,0.002067631],"genre_scores_gemma":[0.9866339,0.0001291156,0.01178233,0.0002084411,0.00005118515,0.0002253208,0.0008819613,0.00001330383,0.00007448127],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.08660108,"threshold_uncertainty_score":0.4579958,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02282727200052742,"score_gpt":0.3351235283696009,"score_spread":0.3122962563690734,"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."}}