{"id":"W4411852675","doi":"10.1055/a-2621-3626","title":"A Paradigm Shift in Osteoporosis Screening with AI: The Canadian Experience with Rho","year":2025,"lang":"en","type":"article","venue":"Osteologie/Osteology","topic":"Bone health and osteoporosis research","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University; Health Sciences Centre; Sunnybrook Health Science Centre","funders":"","keywords":"Paradigm shift; Osteoporosis; Medicine; Psychology; Computer science; Epistemology; Philosophy; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.0007397306,0.000428551,0.0007923619,0.0007721318,0.0005916028,0.00006641093,0.0005703603,0.0004752287,0.0002778398],"category_scores_gemma":[0.0002956722,0.0002567963,0.00007986656,0.001699692,0.001538425,0.0001606498,0.0001914211,0.001399361,0.00005980868],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004332704,"about_ca_system_score_gemma":0.003369071,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.1791288,"about_ca_topic_score_gemma":0.8312947,"domain_scores_codex":[0.9959023,0.0003574938,0.0005947644,0.0008922079,0.0004765824,0.001776668],"domain_scores_gemma":[0.997467,0.0005595529,0.0001310948,0.001122955,0.0001300741,0.0005893714],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002323761,0.00008313601,0.9793325,0.0001186064,0.0000610884,0.0008939183,0.002509998,0.00006454789,0.00004418428,0.00572754,0.0008560417,0.007984659],"study_design_scores_gemma":[0.005277159,0.00254166,0.974505,0.0004015272,0.00008018388,0.0005457778,0.0022225,0.0001410491,0.0005139711,0.0007324907,0.01265939,0.0003793004],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8175213,0.001118688,0.0002690103,0.1644341,0.0001969883,0.002282988,0.00001502721,0.0001318878,0.01403001],"genre_scores_gemma":[0.9809328,0.00006682428,0.0008268384,0.01608474,0.00005425952,0.0005850511,0.00004814535,0.00003809446,0.001363192],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.6521659,"threshold_uncertainty_score":0.9999884,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02548129548220611,"score_gpt":0.3290026684388645,"score_spread":0.3035213729566584,"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."}}