{"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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003899569,0.001909841,0.000985189,0.002811784,0.002366284,0.001909195,0.001357472,0.004387089,0.01209286],"category_scores_gemma":[0.004499129,0.0006888604,0.001024116,0.001397516,0.001220634,0.00187886,0.001623966,0.002039577,0.00297849],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.001536856,"about_ca_system_score_gemma":0.0007954232,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001898645,"about_ca_topic_score_gemma":0.003234857,"domain_scores_codex":[0.9992993,0.00004939488,0.00006634281,0.0001141342,0.0001475539,0.0003232253],"domain_scores_gemma":[0.9985458,0.0003459158,0.0003108407,0.00009525008,0.0001053588,0.0005969031],"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":[0.0000640967,0.00003520674,0.01056056,0.00003201739,0.000006376451,0.985815,0.00004739763,0.00003726237,0.0006745781,0.0001108906,0.001276997,0.001339588],"study_design_scores_gemma":[0.000007724449,0.00005115709,0.01048183,0.00002423929,0.00001284572,0.9881462,0.000167532,0.000197382,0.0002395839,0.0001842086,0.0004788096,0.000008599103],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8957326,0.004898894,0.003262495,0.01311251,0.001959414,0.0004133517,0.001295852,0.0004961618,0.07882871],"genre_scores_gemma":[0.990177,0.001011845,0.00113876,0.002017133,0.0019864,0.00003352459,0.0002814571,0.00004852586,0.003305404],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01209286,"threshold_uncertainty_score":0.04045463,"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."}}