{"id":"W4409107878","doi":"10.3390/curroncol32040211","title":"Merkel Cell Carcinoma of the Skin: Deducing the Pattern of Spread from an International Aggregated Database of 949 Patients","year":2025,"lang":"en","type":"article","venue":"Current Oncology","topic":"Polyomavirus and related diseases","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University; University of Toronto; University of Calgary; University of Alberta; University of Saskatchewan","funders":"Saskatchewan Cancer Agency","keywords":"Medicine; Merkel cell carcinoma; Merkel cell; Lymph node; Lymph; Population; Distant metastasis; Internal medicine; Carcinoma; Merkel cell polyomavirus; Adjuvant; Oncology; Gastroenterology; Pathology; Metastasis; Cancer","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":true,"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":[0.00007658124,0.00009091741,0.0002387326,0.00007316374,0.0000294533,0.000001713535,0.000288185,0.0000681768,0.0001097513],"category_scores_gemma":[0.00009276658,0.00005068393,0.0001037277,0.0001324922,0.0001878925,0.00003753115,0.0001684465,0.0001688072,0.000002080013],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00004979506,"about_ca_system_score_gemma":0.0002472763,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000952624,"about_ca_topic_score_gemma":0.00004608333,"domain_scores_codex":[0.9990897,0.0001204983,0.0003610345,0.0001593141,0.000162641,0.000106802],"domain_scores_gemma":[0.9989426,0.0001390343,0.0003097303,0.0003934125,0.0001755741,0.00003965458],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0002032979,0.002372339,0.9134013,0.0001274273,0.0001203499,0.000001763108,0.0006433223,0.00000675325,0.00430705,0.00002989369,0.001294429,0.07749204],"study_design_scores_gemma":[0.003123097,0.0002247811,0.9294741,0.0005181068,0.0004639015,8.796543e-7,0.0002589758,0.0005717928,0.06158623,0.00003484012,0.003687082,0.00005621724],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9936131,0.002522709,0.00003554859,0.0002461206,0.001870663,0.000251554,0.0005331811,0.000004729437,0.0009224166],"genre_scores_gemma":[0.9993686,0.0001317214,0.00001308291,0.00008525618,0.00004999875,0.000007241435,0.0002943306,0.000005961157,0.00004382886],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.07743583,"threshold_uncertainty_score":0.2066831,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03816312448224508,"score_gpt":0.3653433186386569,"score_spread":0.3271801941564119,"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."}}