{"id":"W2802331759","doi":"10.1001/jamainternmed.2018.1183","title":"Uncoupling Diagnosis and Treatment of Incidentally Imaged Renal Masses—Reply","year":2018,"lang":"en","type":"letter","venue":"JAMA Internal Medicine","topic":"Renal cell carcinoma treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Renal mass; General surgery; Intensive care medicine; Radiology; Surgery; Kidney; Internal medicine; Nephrectomy","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":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0002972789,0.0007989101,0.001837115,0.0005964385,0.00006260879,0.00003499009,0.000245277,0.0005544669,0.001228403],"category_scores_gemma":[0.0004410212,0.000526275,0.0003400052,0.0001928012,0.0007222118,0.0001024095,0.0001302567,0.0009521025,0.00005906077],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0009394908,"about_ca_system_score_gemma":0.0001632406,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003688393,"about_ca_topic_score_gemma":0.00006160299,"domain_scores_codex":[0.9961308,0.0001070374,0.001169593,0.0008889324,0.001171502,0.0005321463],"domain_scores_gemma":[0.9969476,0.0007564237,0.0007421977,0.000841359,0.0004108283,0.0003015748],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.001148764,0.0003424769,0.07325712,0.0007644906,0.001862537,0.01728176,0.0007811814,3.763791e-7,0.004784316,0.000001942252,0.8818876,0.01788746],"study_design_scores_gemma":[0.01099494,0.02185098,0.03374019,0.008218745,0.003194091,0.003159239,0.0001557459,0.00005322519,0.02879727,0.00008606131,0.8892226,0.0005269289],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"empirical","genre_gemma":"commentary","genre_scores_codex":[0.5304702,0.006052369,0.00007582241,0.45362,0.00109838,0.001336474,0.00007197457,0.00008328436,0.007191544],"genre_scores_gemma":[0.3426743,0.008248387,0.003692643,0.5685946,0.04743023,0.000715845,0.00137994,0.0004518716,0.02681217],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.1877959,"threshold_uncertainty_score":0.9997189,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03438894314169087,"score_gpt":0.2944106750803789,"score_spread":0.260021731938688,"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."}}