{"id":"W2118220208","doi":"10.1136/emj.2004.018267","title":"Pitfalls in the clinical diagnosis of vertebral fractures: a case series in which posterior midline tenderness was absent","year":2005,"lang":"en","type":"article","venue":"Emergency Medicine Journal","topic":"Spinal Fractures and Fixation Techniques","field":"Medicine","cited_by":6,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Tenderness; Neurological deficit; Spinal fracture; Lumbar; Surgery; Radiology","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.002108771,0.0002197598,0.0006402637,0.0003468376,0.00006909967,0.000005672333,0.0002173233,0.0001795277,0.01006072],"category_scores_gemma":[0.001385382,0.0001224354,0.0001655403,0.0005485181,0.0001064327,0.0001887351,0.00003339713,0.001099658,0.000004827148],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00006914279,"about_ca_system_score_gemma":0.0001338025,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0003941003,"about_ca_topic_score_gemma":0.002113857,"domain_scores_codex":[0.9968195,0.0002397541,0.001839772,0.0002185799,0.0005789874,0.0003034066],"domain_scores_gemma":[0.9986322,0.0001447335,0.0004586589,0.0003076119,0.0002841759,0.0001725985],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.001046799,0.001499746,0.8528428,0.0001608935,0.000110251,0.001249021,0.008849942,0.0000285093,0.0005155351,0.00008184,0.1192385,0.01437616],"study_design_scores_gemma":[0.003680896,0.002940745,0.8913108,0.0009459593,0.0001757091,0.01873575,0.004143432,0.0001512022,0.0004702217,0.0004671592,0.07675217,0.0002259936],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9506871,0.003447553,0.0001231098,0.04351535,0.0007069117,0.0003964325,0.000003779096,0.00001709359,0.001102645],"genre_scores_gemma":[0.9899931,0.006183641,0.0003564116,0.0007427266,0.002179893,0.00002971228,0.00000890541,0.00002082319,0.0004848093],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04277262,"threshold_uncertainty_score":0.9908442,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0566549203058814,"score_gpt":0.4194703223126312,"score_spread":0.3628154020067498,"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."}}