{"id":"W4409987011","doi":"10.3171/2025.2.focus24915","title":"Impact of surgery and radiation on radicular pain and myotomic weakness in patients with metastatic spine disease","year":2025,"lang":"en","type":"article","venue":"Neurosurgical FOCUS","topic":"Management of metastatic bone disease","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Western Hospital; University Health Network; University of Toronto; McGill University Health Centre; Sunnybrook Health Science Centre; University of British Columbia","funders":"AO Foundation; Servier; Stryker; Seagen; Memorial Sloan-Kettering Cancer Center; AstraZeneca","keywords":"Medicine; Weakness; SPINE (molecular biology); Radicular pain; Disease; Surgery; Back pain; Internal medicine; Bioinformatics; Lumbar; Pathology; Biology; Alternative medicine","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":[0.0004198088,0.0001703627,0.0004481163,0.0003404249,0.00002199627,0.00001664687,0.00003189416,0.00002021629,0.00003189618],"category_scores_gemma":[0.0006454986,0.0001202172,0.00008403402,0.0003335904,0.00008927177,0.00006293719,0.0000276724,0.0001001593,7.987811e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00003577069,"about_ca_system_score_gemma":0.00007625751,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00002341707,"about_ca_topic_score_gemma":7.184979e-7,"domain_scores_codex":[0.9986275,0.0002616904,0.0003218685,0.0003063949,0.0003019197,0.0001806125],"domain_scores_gemma":[0.9990768,0.0003438196,0.000092308,0.0002281851,0.00003576457,0.0002231165],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002827291,0.0008534422,0.9645375,0.0003598745,0.00008507114,0.0002149846,0.0000102645,0.00004068736,0.0000115715,0.0002120796,0.0001674282,0.03067982],"study_design_scores_gemma":[0.005484803,0.0005351112,0.9918129,0.0002315571,0.0002323253,7.896373e-7,0.000004009299,0.001365664,0.000009827149,0.0001306913,0.00009915559,0.00009309869],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9981813,0.0003234992,0.00013069,0.0005054678,0.00003249987,0.0007115453,0.00002258936,0.00001650275,0.00007585239],"genre_scores_gemma":[0.9995301,0.00004448008,0.00004014059,0.0002563333,0.000005880048,0.00002463684,0.00003627794,0.00001385283,0.00004834156],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.03058672,"threshold_uncertainty_score":0.4902314,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.009462191070458148,"score_gpt":0.2652110720438897,"score_spread":0.2557488809734316,"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."}}