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Record W2001829069 · doi:10.1159/000338147

Towards a Novel Molecular Classification of IBD

2012· review· en· W2001829069 on OpenAlex
Séverine Vermeire

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueDigestive Diseases · 2012
Typereview
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicInflammatory Bowel Disease
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineUlcerative colitisDiseaseInflammatory bowel diseaseCrohn's diseaseInternal medicineBioinformatics

Abstract

fetched live from OpenAlex

Classifying IBD patients is important for decisions on the intensity of follow-up, therapy and mode of delivery. The most recent classification of Crohn's disease (CD) and ulcerative colitis (UC), the Montreal classification, is based on clinical grounds: for CD, the age at diagnosis and disease location and behavior and for UC, the age at diagnosis and the extent of disease. During the Working Party in 2005 in Montreal, it was judged by the panel of experts that a molecular reclassification using serology and/or genetic markers was too premature and not yet justified. In the meanwhile, the number of genes associated with IBD has increased to >100 and more antimicrobial peptides have also been identified. We recently showed that genetic variants enable the classification of CD patients in distinct clusters, which is different from clusters seen in healthy individuals. Furthermore, there was a poor relationship between the genetic-based subgroups and the clinical subphenotypes being used. The promising role for molecular markers lies most likely in disease stratification, the prediction of prognosis at the time of diagnosis and the prediction of therapy outcome. The behavior of CD and UC varies between patients, and the characteristic transmural inflammation in CD--when untreated--will often progress and lead to stricture or fistula formation over time. Predicting which patients are at risk for progression to complications and how fast this occurs could have therapeutic implications, as more aggressive treatment strategies could become defendable in the appropriate patient. Genetic factors are definitively more appealing for risk stratification on more solid grounds. Molecular markers may also better explain changes in disease behavior from a pathogenic standpoint, and by combining several markers this strategy can approach clinical utility. Before starting to apply molecular markers to predict disease behaviors, tools should be made available to score disease progression. Only then could the value of molecular markers to predict the speed of progression be fully explored in prospective studies.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.963
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.038
GPT teacher head0.316
Teacher spread0.279 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it