{"id":"W4387115747","doi":"10.1530/edm-23-0057","title":"Ectopic Cushing’s syndrome from a corticotropin-releasing hormone-secreting medullary thyroid carcinoma: a rare pitfall of inferior petrosal sinus sampling","year":2023,"lang":"en","type":"article","venue":"Endocrinology Diabetes and Metabolism Case Reports","topic":"Pituitary Gland Disorders and Treatments","field":"Medicine","cited_by":6,"is_retracted":false,"has_abstract":true,"ca_institutions":"University Health Network","funders":"Steno Diabetes Center Aarhus","keywords":"Medicine; Inferior petrosal sinus; Medullary cavity; Thyroid carcinoma; Cushing syndrome; Internal medicine; Thyroid; Radiology; Cavernous sinus","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":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.00006045656,0.0003565919,0.001058924,0.0003197071,0.0002108286,0.00002965126,0.00004391691,0.000144054,0.00003038079],"category_scores_gemma":[0.0003150004,0.0003029678,0.0002076994,0.0002868554,0.0001606865,0.0001331251,0.0001827187,0.0002819966,0.000005595991],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00002948231,"about_ca_system_score_gemma":0.0001311166,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001085327,"about_ca_topic_score_gemma":0.00002871452,"domain_scores_codex":[0.9975207,0.00007650283,0.0007488358,0.0006294633,0.0002492236,0.0007753185],"domain_scores_gemma":[0.9986165,0.0001958663,0.0003509743,0.0004796119,0.00009306851,0.0002640467],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00006439201,0.0001628552,0.7246993,0.0001379775,0.0005605746,0.2538611,0.000618371,0.000007493298,0.01338812,0.00007496656,0.00005807167,0.006366837],"study_design_scores_gemma":[0.002626859,0.0002715336,0.9393521,0.00009847491,0.0008852144,0.05376113,0.0005683349,0.0001198822,0.0009201895,0.0006828532,0.0004335129,0.0002799432],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9563997,0.04217853,0.00001417757,0.0001543056,0.0004848258,0.0004019773,0.00006617943,0.0001670756,0.0001332569],"genre_scores_gemma":[0.9965948,0.002086899,0.0006329573,0.0001063123,0.0001311312,0.00005296947,0.0002797375,0.00004776038,0.00006738736],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2146528,"threshold_uncertainty_score":0.9999422,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01678942201804302,"score_gpt":0.2563182153970675,"score_spread":0.2395287933790244,"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."}}