{"id":"W4385296887","doi":"10.1155/2023/8751205","title":"It Is All in the Genes: A Story of Unexpected Survival in a 67-Year-Old Male with Metastatic Pancreatic Cancer","year":2023,"lang":"en","type":"article","venue":"Case Reports in Oncological Medicine","topic":"Pancreatic and Hepatic Oncology Research","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University","funders":"","keywords":"GNAS complex locus; Gemcitabine; Medicine; Pancreatic cancer; Oncology; Germline; Capecitabine; Germline mutation; CDKN2A; Internal medicine; Frameshift mutation; Cancer; Mutation; Gene; Genetics; Biology","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":"codex-gemma-dda1882f352a","candidate_categories":["insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.005053397,0.0002484464,0.001496507,0.0005238387,0.00004539034,0.000003736178,0.0001125785,0.0001872032,0.001269236],"category_scores_gemma":[0.003176613,0.0001298931,0.00006456501,0.001865562,0.0007030198,0.00003976453,0.00006597931,0.0008995167,0.00000839192],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004515554,"about_ca_system_score_gemma":0.0006659013,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003508396,"about_ca_topic_score_gemma":0.004318193,"domain_scores_codex":[0.9961147,0.0008872994,0.001085521,0.0005148738,0.0008109708,0.0005866187],"domain_scores_gemma":[0.9957621,0.003070823,0.0002930338,0.0005524447,0.0001429798,0.0001786668],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0004900484,0.0004577838,0.6343315,0.0002286701,0.00009551839,0.3556439,0.004743492,0.00001879586,0.0003790636,0.00003699255,0.002665214,0.0009090575],"study_design_scores_gemma":[0.009519318,0.004950559,0.8917042,0.001935964,0.0006671301,0.04735937,0.037491,0.001176447,0.00004461317,0.0003812642,0.004474312,0.0002958041],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9771115,0.00124445,0.000009925253,0.01354108,0.0001127075,0.001471569,0.000006188461,0.00002932615,0.006473232],"genre_scores_gemma":[0.9942363,0.001319681,0.0003078963,0.001847255,0.0001105687,0.0006739899,0.00002137852,0.00002050551,0.001462427],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3082846,"threshold_uncertainty_score":0.9996437,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1493930766275946,"score_gpt":0.4320998117660008,"score_spread":0.2827067351384062,"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."}}