{"id":"W2944331226","doi":"10.1210/js.2019-sun-373","title":"SUN-373 Small Adrenal Incidentaloma Stable in Size Becoming a Stage IV Adrenocortical Carcinoma 10 Years Later in a Young Patient Carrying a Germline APC Variant of Uncertain Significance (VUS)","year":2019,"lang":"en","type":"article","venue":"Journal of the Endocrine Society","topic":"Adrenal and Paraganglionic Tumors","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Centre Hospitalier de l’Université de Montréal","funders":"","keywords":"Medicine; Adrenocortical carcinoma; Incidentaloma; Adrenalectomy; Ganglioneuroma; Radiology; Magnetic resonance imaging; Adrenal gland; Dehydroepiandrosterone sulfate; Internal medicine; Urology; Hormone; Androgen; Neuroblastoma","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0006004467,0.0002175734,0.0006931524,0.00009663762,0.00003884408,0.0000172638,0.0002671947,0.00006968439,0.0004453563],"category_scores_gemma":[0.0002244169,0.0001523743,0.0004846076,0.000447973,0.0000966311,0.0001243591,0.0001886098,0.0008340252,0.000005330783],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004226608,"about_ca_system_score_gemma":0.0003937406,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001282409,"about_ca_topic_score_gemma":0.00039051,"domain_scores_codex":[0.9975033,0.0001544433,0.001090353,0.0002319725,0.0005418833,0.0004779935],"domain_scores_gemma":[0.9985514,0.0002611842,0.000599378,0.000295669,0.0001475084,0.0001448933],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002015247,0.0007812177,0.9462096,0.0004360676,0.0002490156,0.006266861,0.0119659,0.003843552,0.02699102,0.00007028446,0.0004914406,0.0006797672],"study_design_scores_gemma":[0.008627471,0.0008135909,0.9633459,0.001002893,0.0001389693,0.005185138,0.004941794,0.004106051,0.01122315,0.0001228564,0.0001994977,0.0002926339],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9983318,0.0002877288,0.00002188675,0.0004736904,0.0002567673,0.000461887,0.00001990223,0.000006425677,0.0001398589],"genre_scores_gemma":[0.9974442,0.00001738826,0.001129379,0.0002180521,0.0001338075,0.000007242824,0.000002849678,0.00002848577,0.001018606],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01713633,"threshold_uncertainty_score":0.6213644,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01485895329946666,"score_gpt":0.2563195298389292,"score_spread":0.2414605765394625,"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."}}