{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001388256,0.0004476848,0.0004217635,0.0008886775,0.0009989976,0.0007139593,0.0003847888,0.001469256,0.002172331],"category_scores_gemma":[0.0007830883,0.0003566837,0.0006382016,0.0003185998,0.0004633489,0.0005331392,0.0003795425,0.0009876512,0.0005334281],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0009376925,"about_ca_system_score_gemma":0.0007405779,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.008610206,"about_ca_topic_score_gemma":0.013723,"domain_scores_codex":[0.9998025,0.00001297715,0.00001659904,0.00005437386,0.0000345566,0.000078976],"domain_scores_gemma":[0.9995965,0.00006340299,0.00006134858,0.00002285167,0.0000374666,0.0002184254],"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":[0.00006463665,0.00004156589,0.04183899,0.00001996839,0.00001227017,0.9529641,0.0002084484,0.00005745231,0.002063775,0.00007875149,0.0003413353,0.002308635],"study_design_scores_gemma":[0.00001114294,0.0001726765,0.03999038,0.00001732346,0.00002366211,0.9574854,0.0002171359,0.0002396711,0.0006709305,0.00006907361,0.001091065,0.00001154709],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.990714,0.002065678,0.0005164669,0.001078589,0.0001680472,0.00003768212,0.0002137515,0.00007009111,0.005135625],"genre_scores_gemma":[0.9977609,0.0002912431,0.0001637273,0.0002682054,0.00009243129,0.000003442647,0.00008715614,0.000006586634,0.001326384],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.008610206,"threshold_uncertainty_score":0.01712018,"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."}}