Tumoral Calcinosis of Thoracic Spine Associated with Systemic Sclerosis: Figure 1.
Bibliographic record
Abstract
Soft-tissue calcinosis is a common manifestation in patients with systemic sclerosis (SSc), most typically seen as subcutaneous and intracutaneous calcium deposition in the extremities. By contrast, spinal calcinosis has been the subject of only limited reports1–8. We describe a woman with the diffuse cutaneous form of SSc who presented with serious neurological symptoms, including a rapidly progressive course of motor and sensory disturbance. Computed tomography (CT) of her thoracic spine showed massive intraspinal calcinosis and paraspinal calcinosis causing spinal cord compression. A 53-year-old woman, diagnosed 10 years previously as having the diffuse cutaneous form of SSc, was admitted to our hospital with a 2-week history of rapidly increasing weakness and numbness of her bilateral lower extremities. She had daily episodes of Raynaud’s phenomenon, esophageal hypomotility, and interstitial lung disease. On admission, physical examination revealed skin thickening over the trunk, face and limbs, multiple ulcerations of her fingertips, peripheral calcinosis cutis, and telangiectasia. Neurologic examination revealed severe weakness in her bilateral lower extremities …
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.002 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.001 |
| Insufficient payload (model declined to judge) | 0.017 | 0.004 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".