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Record W2122879188 · doi:10.1136/jnnp.2010.217745

Brain MRI roulette

2010· editorial· en· W2122879188 on OpenAlexaff
Rustam Al‐Shahi Salman

Bibliographic record

VenuePractical Neurology · 2010
Typeeditorial
Languageen
FieldNeuroscience
TopicCerebrospinal fluid and hydrocephalus
Canadian institutionsHealth Sciences Centre
Fundersnot available
KeywordsRoulettePsychologyAsymptomaticMedicinePsychiatryPediatricsPathology

Abstract

fetched live from OpenAlex

One of the unwritten parts of the job description of a trainee neurologist working in an academic institution can be the requirement to enrol into a brain MRI study as a research volunteer (‘normal control’ sounds too flattering for a neurologist). During my training, thrilled by the respite from requesting esoteric blood tests, I gladly lay on the research MRI scanner table and imagined my protons spinning under the influence of the magnet around me. But had I known that there was a 1 in 37 chance of identifying an incidental finding on brain MRI,1 the magnet would have seemed more like a European roulette wheel in which the ball may land in one of 37 pockets (gamblers, scholars and pedants who read Practical Neurology will know that this comparison breaks down in American roulette where the existence of a 38th double zero pocket offers the player longer odds). However, before deciding whether to be concerned about the chance, and perhaps the risk, of detecting incidental findings in the brain, it is important to clarify what they may be. In a meta-analysis of their prevalence in the brains of neurologically asymptomatic people, my colleagues and I eventually defined them as ‘apparently asymptomatic intracranial abnormalities that are clinically significant because of their potential to cause symptoms or influence treatment’ (this …

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.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.022
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.013
Threshold uncertainty score0.041

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.022
Meta-epidemiology (narrow)0.0030.001
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0020.001
Science and technology studies0.0020.002
Scholarly communication0.0030.003
Open science0.0020.001
Research integrity0.0130.023
Insufficient payload (model declined to judge)0.0120.009

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 head0.020
GPT teacher head0.326
Teacher spread0.306 · 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

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEditorial

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".

Quick stats

Citations2
Published2010
Admission routes1
Has abstractyes

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