{"id":"W4406346413","doi":"10.1177/21925682231220551","title":"What is the Optimal Management of Metastatic Spine Patients With Intermediate Spinal Instability Neoplastic Scores: To Operate or Not to Operate?","year":2025,"lang":"en","type":"article","venue":"Global Spine Journal","topic":"Management of metastatic bone disease","field":"Medicine","cited_by":8,"is_retracted":false,"has_abstract":true,"ca_institutions":"Health Sciences Centre; Sunnybrook Health Science Centre; McMaster University; Montreal General Hospital; University of Toronto; University Health Network; McGill University; University of British Columbia","funders":"","keywords":"Medicine; Surgery; Percutaneous; Quality of life (healthcare); Radiation therapy; Radiosurgery; Perioperative; Back pain","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":[],"consensus_categories":[],"category_scores_codex":[0.0007883866,0.0004294523,0.0007244295,0.000237983,0.0001831959,0.0003255487,0.0005668299,0.00003193012,0.000610414],"category_scores_gemma":[0.0002541227,0.0002411746,0.000167909,0.001294858,0.0001378855,0.0004055505,0.000530192,0.0002848055,0.0000690328],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003641404,"about_ca_system_score_gemma":0.000337036,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00002688143,"about_ca_topic_score_gemma":0.00002832652,"domain_scores_codex":[0.9965515,0.0001453212,0.001016198,0.000522688,0.001161697,0.0006025545],"domain_scores_gemma":[0.9978501,0.00001490697,0.0002402449,0.0006694094,0.0006197928,0.0006055947],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.1393158,0.0188133,0.1096112,0.01592557,0.02191622,0.006520532,0.006074059,0.02520806,0.0005057977,0.005666824,0.06891874,0.581524],"study_design_scores_gemma":[0.01041008,0.005461156,0.9686764,0.004826275,0.002120908,0.00005475496,0.004740588,0.0006800992,0.0001646191,0.00003220465,0.00245279,0.0003800953],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9637046,0.0001845123,0.02307776,0.009465439,0.0008417908,0.002315078,0.00007256054,0.00002534006,0.000312863],"genre_scores_gemma":[0.9540214,0.0001831077,0.03141477,0.01285504,0.00007165196,0.00007414549,0.00002197739,0.00002718767,0.001330728],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8590653,"threshold_uncertainty_score":0.9834815,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01598827763335647,"score_gpt":0.3231325561383565,"score_spread":0.307144278505,"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."}}