{"id":"W4210960793","doi":"10.1212/wnl.0000000000200009","title":"Clinical Reasoning: A 72-Year-Old Woman With Rapidly Progressive Bilateral Hearing Loss","year":2022,"lang":"en","type":"article","venue":"Neurology","topic":"Brain Metastases and Treatment","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of British Columbia","funders":"","keywords":"Hearing loss; Lumbar puncture; Differential diagnosis; Malignancy; Sensorineural hearing loss; Unilateral hearing loss; Pleocytosis; Biopsy","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0001288805,0.001556651,0.0007383434,0.00101296,0.001314007,0.0006178274,0.0007696442,0.003373326,0.004245849],"category_scores_gemma":[0.001457375,0.0003297919,0.0003458713,0.0007364584,0.000604508,0.001148237,0.0005518445,0.001787078,0.001349595],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0005975529,"about_ca_system_score_gemma":0.0006666181,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00228032,"about_ca_topic_score_gemma":0.003297691,"domain_scores_codex":[0.9998304,0.00001353322,0.00001500227,0.0000488482,0.00003144785,0.00006072303],"domain_scores_gemma":[0.9997106,0.00005596413,0.00003655692,0.0000146284,0.00003494925,0.0001472615],"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":[0.00003381368,0.00002706989,0.005740541,0.00002513836,0.000003737385,0.9905401,0.0001209933,0.00006714324,0.0005622464,0.0001489227,0.001309352,0.001420926],"study_design_scores_gemma":[0.00001211302,0.00007704571,0.007147731,0.00003713587,0.000007368813,0.9896699,0.0001707558,0.0001591343,0.0001640083,0.0003242193,0.002220214,0.00001037644],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8709958,0.009547938,0.003147325,0.02855301,0.001992555,0.0005497666,0.0016129,0.0004268923,0.0831739],"genre_scores_gemma":[0.9857164,0.002501061,0.0008498682,0.00374967,0.001119118,0.00003838732,0.0002783345,0.00002156906,0.005725597],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.004245849,"threshold_uncertainty_score":0.01420379,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02629308050866648,"score_gpt":0.3155452209742353,"score_spread":0.2892521404655689,"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."}}