{"id":"W4411429606","doi":"10.1017/cjn.2025.10118","title":"Leptomeningeal Carcinomatosis from Triple-Negative Breast Cancer Presenting with Acute Bilateral Optic Neuropathy","year":2025,"lang":"en","type":"article","venue":"Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques","topic":"Brain Metastases and Treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto","funders":"","keywords":"Medicine; Triple-negative breast cancer; Meningeal carcinomatosis; Breast cancer; Optic neuropathy; Cancer; Radiology; Internal medicine; Ophthalmology; Optic nerve; Cerebrospinal fluid","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"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":[0.0002069256,0.001379703,0.001069848,0.001785803,0.002265861,0.001209791,0.0009588954,0.002245111,0.00415161],"category_scores_gemma":[0.001639253,0.0006861963,0.0006985036,0.002332557,0.001171612,0.00147953,0.0008825467,0.002306273,0.001167052],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002942467,"about_ca_system_score_gemma":0.001717161,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01763394,"about_ca_topic_score_gemma":0.02445819,"domain_scores_codex":[0.9996238,0.00002200542,0.00003004808,0.00006461254,0.00009714691,0.0001623797],"domain_scores_gemma":[0.9993799,0.0001310423,0.000116104,0.00004483625,0.00005580227,0.0002722943],"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":[0.00004774723,0.00002309557,0.004610908,0.00003274213,0.000006516989,0.9935769,0.00004439738,0.00004302608,0.0003787727,0.00007706221,0.0003150506,0.0008436869],"study_design_scores_gemma":[0.00002673409,0.00007859609,0.01650863,0.00003921129,0.00002078486,0.9819353,0.0001509257,0.000222324,0.0002432337,0.0002906161,0.0004691339,0.0000146531],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9393651,0.005630181,0.00191651,0.005963176,0.0005247755,0.0004652494,0.001159446,0.0002071067,0.04476848],"genre_scores_gemma":[0.9936941,0.001922657,0.0004166228,0.001120104,0.0005128655,0.00002917309,0.0002009926,0.00001716565,0.00208611],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01763394,"threshold_uncertainty_score":0.03506261,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02361128923012302,"score_gpt":0.2816569501461244,"score_spread":0.2580456609160014,"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."}}