{"id":"W3208905316","doi":"10.2196/33241","title":"Surgical Surprise: Cutaneous Metastasis Presenting for Mohs Micrographic Surgery Without a Prior Diagnostic Biopsy","year":2021,"lang":"en","type":"article","venue":"JMIR Dermatology","topic":"Cancer Diagnosis and Treatment","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Mohs surgery; Surprise; Biopsy; Metastasis; Surgery; Radiology; General surgery; Cancer; Internal medicine; Psychology","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.00009139642,0.0002774035,0.001004739,0.0001993419,0.0001480803,0.00004296692,0.00007042387,0.0001891231,0.0002284883],"category_scores_gemma":[0.0003724569,0.000245035,0.0005745289,0.0003558087,0.0001342361,0.00004796103,0.00007429452,0.0001630011,0.00003888829],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00006100707,"about_ca_system_score_gemma":0.0002877427,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00004076676,"about_ca_topic_score_gemma":0.0000614583,"domain_scores_codex":[0.9979565,0.000128153,0.0005339177,0.0005734782,0.000201935,0.0006060529],"domain_scores_gemma":[0.9957938,0.003142644,0.0001588655,0.0004490294,0.0002204744,0.0002351394],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"not_applicable","study_design_scores_codex":[0.0002588786,0.001798991,0.9460102,0.0007026125,0.0007947211,0.031676,0.0001760203,0.000001860539,0.0004593945,0.0001666108,0.00986601,0.008088719],"study_design_scores_gemma":[0.01077136,0.0003488308,0.1140313,0.0008580491,0.003182579,0.337677,0.0004791285,0.0002398116,0.07349822,0.0002855308,0.457436,0.001192239],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9843446,0.009237571,0.00005705696,0.004620148,0.000337946,0.001042711,0.00006884825,0.0001195178,0.0001716097],"genre_scores_gemma":[0.9952058,0.001062369,0.001280609,0.000431385,0.0001524431,0.001433545,0.0001850501,0.00005585915,0.0001929686],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8319789,"threshold_uncertainty_score":0.9992237,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02488881360276994,"score_gpt":0.3205899865963102,"score_spread":0.2957011729935402,"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."}}