Perspective on malignant pleural mesothelioma diagnosis and treatment
Bibliographic record
Abstract
Malignant pleural mesothelioma (MPM) is an aggressive solid malignancy with dismal prognosis. The majority of newly diagnosed MPM patients present with advanced (IMIG/UICC stage IV) disease and are therefore treated with chemotherapy and supportive measures. The median survival of this group of patients ranges from 12 months with chemotherapy to 7 months with supportive care (1,2). Nonetheless, for a selected group of patients that present with a locally advanced disease (IMIG/UICC stage I–III), a personally tailored multimodality therapeutic (MMT) protocol comprising of cyto-reductive surgery and chemotherapy with or without radio-therapy may be the best therapeutic option. Although MMT is also associated with high rates of morbidity and mortality, it remains the sole option to significantly extend the survival of patients that physically and clinically qualify for this aggressive treatment strategy (3-8) .
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
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 teacher head, 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".