{"id":"W4414383586","doi":"10.1001/jamaneurol.2025.2781","title":"Long-Term Personalized Adaptive Deep Brain Stimulation in Parkinson Disease","year":2025,"lang":"en","type":"article","venue":"JAMA Neurology","topic":"Neurological disorders and treatments","field":"Medicine","cited_by":51,"is_retracted":false,"has_abstract":true,"ca_institutions":"Ontario Brain Institute; Toronto Western Hospital; University of Toronto","funders":"National Institute of Neurological Disorders and Stroke; Yarmouk University; Cleveland Clinic Foundation; Cleveland Clinic; University of Pennsylvania; University of California, San Francisco; Massachusetts General Hospital","keywords":"Deep brain stimulation; Disease; Parkinson's disease; Brain stimulation; Degenerative disease; Stimulation","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":[],"consensus_categories":[],"category_scores_codex":[0.00005737474,0.000142358,0.0002569471,0.0001579877,0.00003937422,0.000009843602,0.00006213882,0.0001497373,0.0001607107],"category_scores_gemma":[0.0002535551,0.000118993,0.00008341955,0.0002144956,0.0000883455,0.00004786985,0.00004561757,0.0003069426,0.00002707213],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0000194034,"about_ca_system_score_gemma":0.00004232677,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00001634037,"about_ca_topic_score_gemma":0.00005372259,"domain_scores_codex":[0.9988942,0.0001798462,0.0001830297,0.0003944029,0.0001037652,0.0002448165],"domain_scores_gemma":[0.9993777,0.0002654488,0.00004236211,0.0001854128,0.00002461692,0.0001044574],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.007723886,0.0005947902,0.9722971,0.00002619332,0.00003242979,0.001863215,0.00004618286,0.00007478361,0.0001083131,0.000969629,0.0004078231,0.01585562],"study_design_scores_gemma":[0.006079103,0.0007863325,0.9851151,0.00001378318,0.00006255796,0.000005638384,0.000003038225,0.003438617,0.000008728109,0.003206498,0.001214156,0.00006648689],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9699505,0.0005055425,0.0003231454,0.02704693,0.0001182354,0.0005016846,0.000004978168,0.00004972063,0.001499241],"genre_scores_gemma":[0.9627248,0.00005456538,0.00002555257,0.03661576,0.00003478945,0.00005764138,0.00003587035,0.00001044242,0.0004405622],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.01578913,"threshold_uncertainty_score":0.4852392,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01939450178860622,"score_gpt":0.2932566826725383,"score_spread":0.2738621808839321,"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."}}