{"id":"W4416415352","doi":"10.1016/j.cps.2025.08.004","title":"Microsurgical Breast Reconstruction","year":2025,"lang":"en","type":"article","venue":"Clinics in Plastic Surgery","topic":"Reconstructive Surgery and Microvascular Techniques","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Sunnybrook Health Science Centre; University Health Network","funders":"","keywords":"Breast reconstruction; Indocyanine green; Troubleshooting; Microsurgery; Mammaplasty; Selection (genetic algorithm)","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":[],"consensus_categories":[],"category_scores_codex":[0.001028843,0.0001690585,0.0006304829,0.0006211463,0.00005013315,0.00001897193,0.00005616549,0.0002536858,0.0001801874],"category_scores_gemma":[0.00196611,0.0001613517,0.0003660157,0.00057899,0.0002518223,0.00008501327,0.00004064374,0.0004190058,0.00003296328],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001017286,"about_ca_system_score_gemma":0.0003880245,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00000763547,"about_ca_topic_score_gemma":0.000004059672,"domain_scores_codex":[0.9983469,0.0001088722,0.0007617896,0.0003880689,0.000110369,0.0002840513],"domain_scores_gemma":[0.9942942,0.005099438,0.0001062928,0.0003081672,0.000113974,0.00007790267],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0003017214,0.0001420892,0.7577982,0.00008597428,0.000076039,0.0001084263,0.000005872048,9.074886e-7,0.0007173053,0.000444953,0.001508468,0.23881],"study_design_scores_gemma":[0.001150839,0.00003385496,0.9686669,0.002208216,0.0001324852,0.003815619,0.0001180063,0.0002059932,0.004181242,0.002479221,0.01665222,0.000355427],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9899377,0.0003655603,0.0012119,0.0001360597,0.004231077,0.000173784,0.00001174727,0.0001359403,0.003796234],"genre_scores_gemma":[0.9978493,0.0005535849,0.000831315,0.0002198036,0.0001181265,0.00002819527,0.00002655283,0.00001652428,0.0003565809],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2384546,"threshold_uncertainty_score":0.6579732,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01757977613884836,"score_gpt":0.30079552566734,"score_spread":0.2832157495284917,"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."}}