{"id":"W7111124345","doi":"10.14309/01.ajg.0001145616.54511.28","title":"S4539 Cutting Through Challenges: Endoscopic Submucosal Dissection for Esophageal Adenocarcinoma Amidst Variceal Vulnerability","year":2025,"lang":"en","type":"article","venue":"The American Journal of Gastroenterology","topic":"Esophageal Cancer Research and Treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Esophagus; Endoscopic mucosal resection; Esophagogastroduodenoscopy; Esophageal varices; Endoscopic submucosal dissection; Cirrhosis; Adenocarcinoma; Dysplasia; Endoscopy","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0003419433,0.0006837972,0.0006045244,0.0008159213,0.0006023128,0.0007761166,0.0003906886,0.002116132,0.006968585],"category_scores_gemma":[0.0006719573,0.0001654288,0.0007449094,0.0006027639,0.0004833072,0.001355849,0.0005609449,0.001325214,0.003879411],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003176199,"about_ca_system_score_gemma":0.0004147769,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0003273152,"about_ca_topic_score_gemma":0.0007785039,"domain_scores_codex":[0.9998436,0.00002573483,0.00002660028,0.00002536072,0.00003844105,0.00004025699],"domain_scores_gemma":[0.9997199,0.00005565382,0.00005992889,0.00002077669,0.00002388442,0.0001198511],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.0006974516,0.000144961,0.02622473,0.001131731,0.0001175323,0.7190503,0.0003740656,0.0006310208,0.01567707,0.001833874,0.03108321,0.2030339],"study_design_scores_gemma":[0.00004279609,0.000397234,0.008839035,0.0003538282,0.00006151632,0.921935,0.0002085553,0.00114782,0.002558895,0.001265172,0.06315797,0.00003216903],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.5883497,0.1836962,0.04226129,0.04274647,0.01373775,0.0004336545,0.0008505795,0.001628086,0.1262962],"genre_scores_gemma":[0.8898691,0.04487611,0.01938021,0.008373908,0.01459258,0.00007968385,0.0007680798,0.0001756528,0.02188463],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.006968585,"threshold_uncertainty_score":0.02331227,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02669966654162741,"score_gpt":0.3444968715064756,"score_spread":0.3177972049648482,"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."}}