{"id":"W4416411735","doi":"10.1016/j.revmed.2025.11.001","title":"Chez les patients ayant un accident vasculaire cérébral ischémique, dont le début des symptômes remonte entre 4,5 et 24 heures, présentant un parenchyme cérébral récupérable évalué par TDM de perfusion, et sans plan de thrombectomie, est-ce que l’altéplase permet d’améliorer l’indépendance fonctionnelle à 90 jours, comparativement au traitement standard, tout en étant sécuritaire ?","year":2025,"lang":"fr","type":"article","venue":"La Revue de Médecine Interne","topic":"Acute Ischemic Stroke Management","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Université Laval; Université de Sherbrooke","funders":"","keywords":"Arterial disease; Vascular disease; Aneurysm","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":["metaepi_narrow","insufficient_payload"],"consensus_categories":["metaepi_narrow"],"category_scores_codex":[0.003148271,0.001477965,0.001963649,0.0005038656,0.0008760323,0.0003091934,0.001129808,0.0005641707,0.001413333],"category_scores_gemma":[0.0007602145,0.001419858,0.0008044121,0.0006084957,0.0006329785,0.0005056082,0.001701563,0.00161009,0.00003559684],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007487124,"about_ca_system_score_gemma":0.002456362,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.01259854,"about_ca_topic_score_gemma":0.02932996,"domain_scores_codex":[0.9906034,0.001919022,0.002202826,0.001761424,0.001156735,0.002356613],"domain_scores_gemma":[0.9957365,0.0007743393,0.0008631741,0.001269729,0.0004616401,0.000894662],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.003416776,0.005779715,0.8104446,0.001774313,0.003396357,0.001715676,0.02753133,0.002794573,0.007361367,0.01450709,0.108895,0.01238323],"study_design_scores_gemma":[0.03581127,0.002669127,0.6963238,0.02650119,0.003142972,0.00125564,0.02104806,0.00860545,0.08661169,0.002041352,0.1137657,0.002223791],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9342227,0.01048545,0.01652369,0.02338422,0.001832813,0.002803124,0.0008821269,0.0002302791,0.009635631],"genre_scores_gemma":[0.9715234,0.007460513,0.00618493,0.002161344,0.0006394515,0.0004397269,0.0008193456,0.0001993707,0.01057191],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1141208,"threshold_uncertainty_score":0.999797,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0105420192858959,"score_gpt":0.262886504929136,"score_spread":0.2523444856432401,"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."}}