{"id":"W4415468435","doi":"10.1038/s41598-025-20928-4","title":"Assessing the diagnostic accuracy of symptoms and signs of degenerative cervical myelopathy: A prospective study","year":2025,"lang":"en","type":"article","venue":"Scientific Reports","topic":"Cervical and Thoracic Myelopathy","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Rehabilitation Institute; University of Toronto; University of British Columbia","funders":"AOSpine","keywords":"Prospective cohort study; Myelopathy; Diagnostic accuracy; Neck pain; Physical examination; Modalities; Gait; Cervical vertebrae; Weakness","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003691472,0.0006612953,0.0006049431,0.001017509,0.0008397847,0.0009108373,0.0006769555,0.001322156,0.001289965],"category_scores_gemma":[0.01244648,0.0008046968,0.0006710914,0.0009178472,0.0007820734,0.001103169,0.0009035975,0.0009611973,0.0005213455],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002790214,"about_ca_system_score_gemma":0.0004000192,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002625716,"about_ca_topic_score_gemma":0.002557357,"domain_scores_codex":[0.997766,0.0008038983,0.000286776,0.0005549986,0.0003855752,0.0002027373],"domain_scores_gemma":[0.9927533,0.002784411,0.001928019,0.0008008067,0.001023577,0.0007098755],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001663759,0.00006669429,0.9991314,0.000005193461,0.00005167827,0.0000375139,0.00006752959,0.00001142794,0.00006340921,0.000004979873,0.00002058963,0.0003732087],"study_design_scores_gemma":[0.00004196897,0.0007184609,0.9982238,0.000009571497,0.00007150848,0.0003493631,0.0002085087,0.000208641,0.00003781437,0.00002137718,0.000101588,0.000007401798],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9992844,0.0002238257,0.0001089243,0.0000196922,0.000006621392,0.00002070862,0.0001210379,0.000002283206,0.0002125142],"genre_scores_gemma":[0.9993717,0.00009993677,0.0001486159,0.00002967962,0.00001289763,0.00002125864,0.0002500165,0.000002203742,0.00006377808],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003691472,"threshold_uncertainty_score":0.01952267,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01757750545198465,"score_gpt":0.3359117318816346,"score_spread":0.31833422642965,"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."}}