{"id":"W4409835474","doi":"10.14740/jmc4282","title":"An Unusual Case of Pancreatic Adenocarcinoma Metastasis to the Trapezium Bone","year":2025,"lang":"en","type":"article","venue":"Journal of Medical Cases","topic":"Cancer Diagnosis and Treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Bone metastasis; Adenocarcinoma; Metastasis; General surgery; Surgery; Internal medicine; Cancer","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003184628,0.002412733,0.001836288,0.002970482,0.003539243,0.002438189,0.001906757,0.005672183,0.002857705],"category_scores_gemma":[0.003449771,0.001513582,0.001488263,0.00358205,0.002286271,0.002018238,0.002964281,0.003918782,0.001263492],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00148251,"about_ca_system_score_gemma":0.001096152,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003062197,"about_ca_topic_score_gemma":0.004318514,"domain_scores_codex":[0.9991289,0.00008726156,0.0001007119,0.000210206,0.0001617225,0.0003111139],"domain_scores_gemma":[0.998064,0.0004374719,0.0004531918,0.0002726101,0.0000886566,0.0006841256],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0000173584,0.00001148761,0.001627478,0.00002980415,0.000006735239,0.9966755,0.00006918947,0.00005491381,0.0005426579,0.00010996,0.0001042579,0.0007506033],"study_design_scores_gemma":[0.000008178672,0.00001902685,0.001038764,0.000009300268,0.000006963035,0.9981012,0.00007022564,0.0001125292,0.0002032147,0.00008782283,0.0003381206,0.000004674212],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9443064,0.01780844,0.008388984,0.002961443,0.0006576248,0.0002988951,0.0005419323,0.0005549773,0.02448144],"genre_scores_gemma":[0.9910865,0.00271938,0.002687215,0.0008028385,0.0005543737,0.00005253029,0.00009775969,0.00003661195,0.001962783],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.005672183,"threshold_uncertainty_score":0.01075643,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03310265058813155,"score_gpt":0.3681597102417815,"score_spread":0.33505705965365,"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."}}