{"id":"W4409094381","doi":"10.1177/00031348251323707","title":"Patterns of Failure in Cutaneous Head and Neck Melanoma Following Negative Sentinel Lymph Node Biopsy: A Retrospective Cohort Study","year":2025,"lang":"en","type":"article","venue":"The American Surgeon","topic":"Cutaneous Melanoma Detection and Management","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Impact","funders":"","keywords":"Medicine; Sentinel lymph node; Retrospective cohort study; Biopsy; Melanoma; Pathological; Proportional hazards model; Cohort; Breslow Thickness; Surgery; Internal medicine; Radiology; Cancer; Breast cancer","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":[0.001003675,0.0002487027,0.0004013991,0.0008477047,0.0005344987,0.0006104399,0.0005084307,0.0003762119,0.001384727],"category_scores_gemma":[0.002395232,0.0003783278,0.0005285041,0.0009639096,0.0002955578,0.0004786658,0.0005802468,0.0004622794,0.0002540217],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004164448,"about_ca_system_score_gemma":0.0005328143,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.005730453,"about_ca_topic_score_gemma":0.008240645,"domain_scores_codex":[0.9990968,0.0001505717,0.0001256582,0.0003141622,0.0001617218,0.0001511092],"domain_scores_gemma":[0.9982398,0.0002208322,0.0009093657,0.0002025125,0.0001952076,0.0002323918],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.00003683208,0.000009375218,0.999378,0.000005822288,0.00001867624,0.0001086566,0.00003967414,0.000009655566,0.00005777284,0.000005312757,0.00003225564,0.0002979712],"study_design_scores_gemma":[0.000004347598,0.00009183581,0.9983765,0.00000774704,0.00002908069,0.0009527364,0.0002395364,0.0001029669,0.00003713051,0.0000145359,0.0001391756,0.000004360816],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9992839,0.0002101905,0.00007158823,0.00001107871,0.000003696308,0.00001494211,0.0002579629,0.000002121514,0.0001446161],"genre_scores_gemma":[0.9995229,0.00007773163,0.00005081108,0.00001265591,0.000004751827,0.00001391773,0.0002580549,0.000002090366,0.0000570572],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005730453,"threshold_uncertainty_score":0.0113942,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.007151715721153547,"score_gpt":0.2579931195437541,"score_spread":0.2508414038226006,"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."}}