{"id":"W2921960462","doi":"10.14309/00000434-201810001-01670","title":"Stercoral Rectal Ulceration or a Missed Diagnosis of Rectal Carcinoma: Primary Signet Ring Cell Carcinoma of the Rectum Presenting as Fecal Incontinence in an Elderly Female","year":2018,"lang":"en","type":"article","venue":"The American Journal of Gastroenterology","topic":"Colorectal and Anal Carcinomas","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Portage College","funders":"","keywords":"Medicine; Rectum; Abdomen; Colonoscopy; Laparotomy; Abdominoperineal resection; Signet ring cell carcinoma; Carcinoma; Anal canal; Population; Radiology; Surgery; Colorectal cancer; Adenocarcinoma; Pathology; Internal medicine; Cancer","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":[0.0002264102,0.0008485641,0.0008177562,0.001116245,0.0008152879,0.0007003759,0.0005098935,0.001776147,0.001928109],"category_scores_gemma":[0.002271469,0.0005569278,0.0005224235,0.0005568237,0.000595797,0.0009545525,0.0005791936,0.0008895705,0.0004959932],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004268027,"about_ca_system_score_gemma":0.0002899252,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001219404,"about_ca_topic_score_gemma":0.001893688,"domain_scores_codex":[0.9996815,0.00004002008,0.00003505238,0.00006894253,0.00004922948,0.0001253826],"domain_scores_gemma":[0.9990625,0.0002092433,0.0003078582,0.00005441493,0.00006143076,0.0003045372],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0001272835,0.00001972201,0.04726719,0.00004593391,0.00001375391,0.9492239,0.0001113601,0.00005000703,0.001279758,0.00003581573,0.0002681378,0.001557084],"study_design_scores_gemma":[0.000007346687,0.00009966081,0.02198199,0.00002163793,0.00001484788,0.9770059,0.0001399156,0.0001192197,0.0002993069,0.00003525989,0.0002681297,0.000006769325],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9905917,0.00465857,0.0006773894,0.001034053,0.0001380308,0.00003073342,0.0001265348,0.00007297305,0.002669916],"genre_scores_gemma":[0.9981906,0.0007600893,0.0002358841,0.0002580174,0.0001639,0.00000360043,0.00005038635,0.000006060439,0.0003315031],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.001928109,"threshold_uncertainty_score":0.006450236,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01781340895589658,"score_gpt":0.2610566608262389,"score_spread":0.2432432518703423,"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."}}