{"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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0006517192,0.0001989913,0.0008211919,0.0002078647,0.000076661,0.00001207815,0.0004100315,0.00004564438,0.00004034493],"category_scores_gemma":[0.0001737854,0.0001161557,0.0002283273,0.000375817,0.0007789247,0.0001438268,0.000155406,0.0004572398,8.843966e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00008676635,"about_ca_system_score_gemma":0.0002121745,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000525926,"about_ca_topic_score_gemma":0.000641058,"domain_scores_codex":[0.9974732,0.0007457819,0.0008371197,0.0002237112,0.0003391558,0.0003809907],"domain_scores_gemma":[0.9978126,0.0002216968,0.00121243,0.0003032067,0.0003271541,0.0001228871],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.02198968,0.0003150394,0.8971474,0.00005255879,0.00003307336,0.0001048887,0.002314365,0.00001017157,0.07580952,0.000001088107,0.00004132114,0.00218095],"study_design_scores_gemma":[0.002024396,0.04833942,0.9188126,0.0001277881,0.0001343609,0.001218319,0.001522448,0.0002827533,0.02744376,0.00001623823,0.000007118499,0.00007076303],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9981483,0.00005758131,0.00003841293,0.001119578,0.0001925122,0.0002723843,0.000005419607,0.00000531929,0.0001605584],"genre_scores_gemma":[0.9987685,0.000009154991,0.0004021272,0.0003983351,0.000334445,0.000008657213,0.000001993036,0.00002135373,0.00005540286],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.04836575,"threshold_uncertainty_score":0.4736692,"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."}}