{"id":"W4416983851","doi":"10.1111/liv.70468","title":"Implementing Ammonia Measurement in Clinical Practice: Time to Forge Ahead","year":2025,"lang":"en","type":"article","venue":"Liver International","topic":"Liver Disease and Transplantation","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal; Espace pour la vie","funders":"","keywords":"Hyperammonemia; Hepatic encephalopathy; Cirrhosis; Liver disease; Cohort; Encephalopathy; Disease; Risk factor; Pathophysiology","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":[0.0007008826,0.00006757587,0.0001081293,0.0001569988,0.00002336638,0.00002091565,0.0000831364,0.00003472013,0.0003887201],"category_scores_gemma":[0.0001321833,0.0000664537,0.00006490132,0.0001095137,0.00001009118,0.0001406822,0.00004335552,0.0001074384,0.0003738027],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001423895,"about_ca_system_score_gemma":0.0001256501,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001206998,"about_ca_topic_score_gemma":0.0000848194,"domain_scores_codex":[0.9988557,0.00004194551,0.0003418678,0.0001922045,0.0004176615,0.0001506584],"domain_scores_gemma":[0.9994602,0.00009379224,0.00004658377,0.00009358593,0.0002415887,0.00006423642],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.004653271,0.002570763,0.8222068,0.0002418427,0.00316393,0.0007412892,0.001545563,0.00002445884,0.004121913,0.01371146,0.03372496,0.1132938],"study_design_scores_gemma":[0.00280146,0.00009180214,0.8533868,0.0003074351,0.0003179164,0.0000113119,0.00009570865,0.0008020049,0.0007523586,0.0001585169,0.1411812,0.00009347834],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8209761,0.0003109832,0.006049078,0.02288407,0.001198491,0.001285585,0.00006607874,0.0001715862,0.147058],"genre_scores_gemma":[0.9901769,0.00003637408,0.003384451,0.004141998,0.0001893709,0.00002926851,0.00006989984,0.000009412285,0.001962297],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.1692008,"threshold_uncertainty_score":0.4804602,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03933599469394736,"score_gpt":0.3943298263508547,"score_spread":0.3549938316569073,"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."}}