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Record W2153542122 · doi:10.1136/gut.2005.076612

New diagnostic imaging tools for inflammatory bowel disease

2006· review· en· W2153542122 on OpenAlex

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.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueGut · 2006
Typereview
Languageen
FieldMedicine
TopicGastrointestinal Bleeding Diagnosis and Treatment
Canadian institutionsUniversity of Manitoba
Fundersnot available
KeywordsMedicineColonoscopyIntubationInflammatory bowel diseaseUlcerative colitisDysplasiaDiseaseEndoscopyEnteroscopyGastroenterologyAbdominal painInternal medicineRadiologySurgeryColorectal cancer

Abstract

fetched live from OpenAlex

The diagnosis of Crohn’s disease is established through an assessment of the clinical presentation with confirmatory evidence from radiographic, endoscopic, and pathological findings. As there is no known cure, and the condition runs a relapsing course, patients are recurrently reinvestigated. Although ultimately curable by colectomy, many patients with ulcerative colitis (UC) are managed medically for years, and require investigations to define the extent of disease, to re-examine diagnosis validity as clinical findings change, and to facilitate dysplasia surveillance. Imaging studies in these diseases serve to establish the primary diagnosis and to provide information for guiding the management of patients with known disease.1 Conventional investigations in patients with suspected or proven inflammatory bowel disease include colonoscopy, ileal intubation, and small bowel follow through (SBFT) or small bowel enteroclysis (SBE). It is recognised that these diagnostic modalities may not be uniformly confirmatory. Complete colonoscopy is not always possible due to technical difficulties, poor preparation, or patient intolerance. While the rate of ileal intubation by experienced endoscopists is reported to be 74%, that rate exceeds 90% when intubation is deemed necessary.2 A recent study reports that the rate of ileal intubation is low in the presence of an endoscopically normal colon, even when symptoms suggestive of inflammatory bowel disease are present.3 Of the 20 638 patients who underwent colonoscopy in the setting of an endoscopically normal colon for the indication of abdominal pain, diarrhoea, or anaemia, ileal intubation was performed only 18% of the time. SBFT is considered a reliable approach to imaging the small bowel in inflammatory bowel disease, provided that it is a dedicated study, incorporating fluoroscopy with manual manipulation.4 The sensitivity and specificity of SBFT in terminal ileal disease is reported in the range of 85–95% and 89–94%, respectively, but these parameters are highly dependent on …

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)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.898
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
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 head0.044
GPT teacher head0.333
Teacher spread0.289 · 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