Bibliographic record
Abstract
International Human alveolar echinococcosis is a rare and poten-tially fatal infestation caused by echinococcus multilo-cularis, which usually involves the liver1. This disease is geographically widespread and is distributed from Canada and the United States through Europe and Eurasia to Japan2. Because of its invasive nature, al-veolar echinococcosis may sometimes manifest as a tumoral lesion1 and mislead the clinician. There is little literature in English describing such a clinical scenario. Here, we report a patient with hepatic echinococcus multilocularis infestation mimicking a liver malig-nancy on imaging and surgical examinations. Consid-ering the widespread nature of this infestation, we hope this report will aid clinicians abroad in dealing with liver disease. A 55-year-old woman from the north west of Iran was admitted to the hospital with vague history of epi-gastric and right upper abdominal pain for one year. She noted anorexia, weight loss and flatulence but a rather normal bowel habit and no fever. Physical ex-amination revealed an ill-appearing old woman who was not in acute distress. A firm and partially tender hepatomegaly with a rough hepatic mass extending to the epigastrium was found on palpation of the abdo-men. The initial laboratory results were remarkable only for mildly elevated alanine and aspartate aminotrans-ferases. Abdominal ultrasonography showed a large,
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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 | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.005 | 0.002 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.590 | 0.448 |
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; the direct Gemma label and the distilled Codex classifier agree on what is shown here.
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".