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Record W4400109826 · doi:10.1212/nxi.0000000000200269

Individual Prognostication of Disease Activity and Disability Worsening in Multiple Sclerosis With Retinal Layer Thickness <i>z</i> Scores

2024· article· en· W4400109826 on OpenAlexfundno aff
Ting‐Yi Lin, Seyedamirhosein Motamedi, Susanna Asseyer, Claudia Chien, Shiv Saidha, Peter A. Calabresi, Kathryn C. Fitzgerald, Sara Samadzadeh, Pablo Villoslada, Sara Llufriú, Ari Green, Jana Lízrová Preiningerová, Axel Petzold, Letizia Leocani, Elena García‐Martín, Celia Oreja‐Guevara, Olivier Outteryck, Patrick Vermersch, Laura J. Balcer, Rachel Kenney, Philipp Albrecht, Orhan Aktaş, Fiona Costello, Jette Lautrup Frederiksen, Antonio Uccelli, Maria Cellerino, Elliot M. Frohman, Teresa C. Frohman, Judith Bellmann–Strobl, Tanja Schmitz‐Hübsch, Klemens Ruprecht, Alexander U. Brandt, Hanna Zimmermann, Friedemann Paul

Bibliographic record

VenueNeurology Neuroimmunology & Neuroinflammation · 2024
Typearticle
Languageen
FieldMedicine
TopicMultiple Sclerosis Research Studies
Canadian institutionsnot available
FundersCilagInstituto de Salud Carlos IIIChugai PharmaceuticalGuthy-Jackson Charitable FoundationIpsenSanofi GenzymeStiftung CharitéMultiple Sclerosis SocietyMultiple Sclerosis Society of CanadaBiogenCelgeneAlexion PharmaceuticalsNational Multiple Sclerosis SocietyHorizon TherapeuticsBundesministerium für Bildung und ForschungNational Institute for Health and Care ResearchTeva Pharmaceutical IndustriesBristol-Myers SquibbArthur Arnstein StiftungEli Lilly and CompanyAllerganNational Institutes of HealthStichting MS ResearchBayer HealthCareEuropean CommissionSanofiDeutsche Forschungsgemeinschaft
KeywordsRetinalMultiple sclerosisDiseaseLayer (electronics)MedicinePhysical medicine and rehabilitationGerontologyInternal medicineOphthalmologyPsychiatryMaterials scienceComposite material

Abstract

fetched live from OpenAlex

BACKGROUND AND OBJECTIVES: scores of OCT-derived measures to prognosticate future disease activity and disability worsening in people with MS (PwMS). METHODS: scores (pRNFL-z and GCIP-z) based on the reference data. Finally, we investigated the association of pRNFL-z or GCIP-z as predictors with future confirmed disability worsening (Expanded Disability Status Scale score increase) or disease activity (failing of the no evidence of disease activity [NEDA-3] criteria) as outcomes. Cox proportional hazards models or logistic regression analyses were applied according to the original studies. Optimal cutoffs were identified using the Akaike information criterion as well as location with the log-rank and likelihood-ratio tests. RESULTS: score approach with optimal cutoffs showed better performance in discrimination and calibration (higher Harrell's concordance index and lower integrated Brier score). DISCUSSION: scores that account for age, a major driver for disease progression in MS, to be a promising approach for creating OCT-derived measures useable across devices and toward individualized prognostication.

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)0.004
metaresearch head score (Gemma)0.008
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.022

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.008
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0000.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

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 head0.057
GPT teacher head0.286
Teacher spread0.229 · 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 designObservational
Domainnot available
GenreEmpirical

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

Citations10
Published2024
Admission routes1
Has abstractyes

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