{"id":"https://openalex.org/W7222984331","doi":"https://doi.org/10.64898/2026.10.16.26365578","title":"AI-Assisted Interpretation of Neurologic Autoantibody Cell-Based Assays","display_name":"AI-Assisted Interpretation of Neurologic Autoantibody Cell-Based Assays","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222984331","doi":"https://doi.org/10.64898/2026.10.16.26365578"},"language":"en","primary_location":{"id":"doi:10.64898/2026.10.16.26365578","doi":"https://doi.org/10.64898/2026.10.16.26365578","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.16.26365578","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/19/2026.10.16.26365578.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/19/2026.10.16.26365578.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5158648941","display_name":"Zhihui Qi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I2802534033","display_name":"Tianjin Medical University General Hospital","ror":"https://ror.org/003sav965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802534033"]},{"id":"https://openalex.org/I4210087691","display_name":"Beijing Tian Tan Hospital","ror":"https://ror.org/003regz62","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210087691"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhihui Qi","raw_affiliation_strings":["Departments of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100071, China","Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100071, China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210087691"]},{"raw_affiliation_string":"Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China","institution_ids":["https://openalex.org/I2802534033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059306968","display_name":"Zijian Cao","orcid":"https://orcid.org/0009-0003-7847-7351","observed_orcids":["https://orcid.org/0009-0003-7847-7351","https://orcid.org/0009-0001-5815-8244"]},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"education","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zijian Cao","raw_affiliation_strings":["School of Biomedical Engineering, Tsinghua University, Beijing 100084, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Biomedical Engineering, Tsinghua University, Beijing 100084, China","institution_ids":["https://openalex.org/I99065089"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133539528","display_name":"Hongyi Tan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I82549287","display_name":"California College of the Arts","ror":"https://ror.org/01mmcf932","country_code":"US","type":"education","lineage":["https://openalex.org/I82549287"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hongyi Tan","raw_affiliation_strings":["Jewelry and Metal Arts Program, California College of the Arts, 145 Hooper Street, San Francisco, CA 94107, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jewelry and Metal Arts Program, California College of the Arts, 145 Hooper Street, San Francisco, CA 94107, USA","institution_ids":["https://openalex.org/I82549287"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159065595","display_name":"Boxiang Tang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Boxiang Tang","raw_affiliation_strings":["Alfred E. Mann Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA 90089, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Alfred E. Mann Department of Biomedical Engineering, Viterbi School of Engineering, University of Southern California, Los Angeles, CA 90089, USA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029783923","display_name":"Samuel Xiang-Yu Shi","orcid":"https://orcid.org/0000-0003-2773-1826","observed_orcids":["https://orcid.org/0000-0003-2773-1826"]},"institutions":[{"id":"https://openalex.org/I2802573037","display_name":"Tianjin Medical University Cancer Institute and Hospital","ror":"https://ror.org/0152hn881","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802573037"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Samuel X Shi","raw_affiliation_strings":["Clinical Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300202, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Laboratory, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300202, China","institution_ids":["https://openalex.org/I2802573037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031573204","display_name":"Ruo-Yong Jia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802534033","display_name":"Tianjin Medical University General Hospital","ror":"https://ror.org/003sav965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802534033"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ruoyong Jia","raw_affiliation_strings":["Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China","institution_ids":["https://openalex.org/I2802534033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158573583","display_name":"Yang Yao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802534033","display_name":"Tianjin Medical University General Hospital","ror":"https://ror.org/003sav965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802534033"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yang Yao","raw_affiliation_strings":["Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China","institution_ids":["https://openalex.org/I2802534033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159027809","display_name":"Jingshan Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802534033","display_name":"Tianjin Medical University General Hospital","ror":"https://ror.org/003sav965","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802534033"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jingshan Chen","raw_affiliation_strings":["Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology, Tianjin Medical University General Hospital, Tianjin 300052, China","institution_ids":["https://openalex.org/I2802534033"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158358266","display_name":"Zongjiu Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"education","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zongjiu Zhang","raw_affiliation_strings":["Institute for Hospital Management of Tsinghua University, Tsinghua University, Shenzhen 518052, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Hospital Management of Tsinghua University, Tsinghua University, Shenzhen 518052, China","institution_ids":["https://openalex.org/I99065089"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122547563","display_name":"Jiahao Wan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"education","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiahao Wan","raw_affiliation_strings":["School of Biomedical Engineering, Tsinghua University, Beijing 100084, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Biomedical Engineering, Tsinghua University, Beijing 100084, China","institution_ids":["https://openalex.org/I99065089"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102911201","display_name":"Pei Zheng","orcid":"https://orcid.org/0000-0002-2406-3458","observed_orcids":["https://orcid.org/0000-0002-2406-3458"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210087691","display_name":"Beijing Tian Tan Hospital","ror":"https://ror.org/003regz62","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210087691"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Pei Zheng","raw_affiliation_strings":["Departments of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100071, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100071, China","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210087691"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5102911201"],"corresponding_institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210087691"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11627","display_name":"Autoimmune Neurological Disorders and Treatments","score":0.5351999998092651,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11627","display_name":"Autoimmune Neurological Disorders and Treatments","score":0.5351999998092651,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.16660000383853912,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12859","display_name":"Cell Image Analysis Techniques","score":0.08969999849796295,"subfield":{"id":"https://openalex.org/subfields/1304","display_name":"Biophysics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cell-based-assays","display_name":"cell-based assays","score":0.8360000252723694},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"artificial intelligence","score":0.5789999961853027},{"id":"https://openalex.org/keywords/image-interpretation","display_name":"image interpretation","score":0.5440000295639038},{"id":"https://openalex.org/keywords/cell-boundary-detection","display_name":"cell boundary detection","score":0.8309999704360962},{"id":"https://openalex.org/keywords/reader-agreement","display_name":"reader agreement","score":0.4749999940395355},{"id":"https://openalex.org/keywords/autoantibody-classification","display_name":"autoantibody classification","score":0.6100000143051147}],"concepts":[{"id":"https://openalex.org/C163764329","wikidata":"https://www.wikidata.org/wiki/Q785022","display_name":"Autoantibody","level":3,"score":0.715399980545044},{"id":"https://openalex.org/C100660578","wikidata":"https://www.wikidata.org/wiki/Q18733","display_name":"Recall","level":2,"score":0.7099999785423279},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.6947000026702881},{"id":"https://openalex.org/C527412718","wikidata":"https://www.wikidata.org/wiki/Q855395","display_name":"Interpretation (philosophy)","level":2,"score":0.6694999933242798},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4878999888896942},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4715999960899353},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4165000021457672},{"id":"https://openalex.org/C204321447","wikidata":"https://www.wikidata.org/wiki/Q30642","display_name":"Natural language processing","level":1,"score":0.41449999809265137},{"id":"https://openalex.org/C2777402240","wikidata":"https://www.wikidata.org/wiki/Q6783436","display_name":"Masking (illustration)","level":2,"score":0.37040001153945923},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.350600004196167},{"id":"https://openalex.org/C62354387","wikidata":"https://www.wikidata.org/wiki/Q875399","display_name":"Boundary (topology)","level":2,"score":0.33899998664855957},{"id":"https://openalex.org/C138268822","wikidata":"https://www.wikidata.org/wiki/Q1051925","display_name":"Resolution (logic)","level":2,"score":0.33889999985694885},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.3375999927520752},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.335099995136261},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.305400013923645},{"id":"https://openalex.org/C136085584","wikidata":"https://www.wikidata.org/wiki/Q910289","display_name":"Overlay","level":2,"score":0.3037000000476837},{"id":"https://openalex.org/C153180895","wikidata":"https://www.wikidata.org/wiki/Q7148389","display_name":"Pattern recognition (psychology)","level":2,"score":0.30239999294281006},{"id":"https://openalex.org/C70721500","wikidata":"https://www.wikidata.org/wiki/Q177005","display_name":"Computational biology","level":1,"score":0.29499998688697815},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.29490000009536743},{"id":"https://openalex.org/C169760540","wikidata":"https://www.wikidata.org/wiki/Q207011","display_name":"Neuroscience","level":1,"score":0.2946999967098236},{"id":"https://openalex.org/C36464697","wikidata":"https://www.wikidata.org/wiki/Q451553","display_name":"Visualization","level":2,"score":0.2824999988079071},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.28049999475479126},{"id":"https://openalex.org/C3020199158","wikidata":"https://www.wikidata.org/wiki/Q210521","display_name":"High resolution","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.2703999876976013},{"id":"https://openalex.org/C127162648","wikidata":"https://www.wikidata.org/wiki/Q16858953","display_name":"Channel (broadcasting)","level":2,"score":0.2619999945163727}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.10.16.26365578","doi":"https://doi.org/10.64898/2026.10.16.26365578","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.16.26365578","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/19/2026.10.16.26365578.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.10.16.26365578","doi":"https://doi.org/10.64898/2026.10.16.26365578","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.16.26365578","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/19/2026.10.16.26365578.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8048999905586243}],"study_designs":[],"awards":[{"id":"https://openalex.org/G6169885279","display_name":null,"funder_award_id":"82401541","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222984331.pdf","grobid_xml":"https://content.openalex.org/works/W7222984331.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W2098001563","https://openalex.org/W2280783985","https://openalex.org/W2343427124","https://openalex.org/W2482668384","https://openalex.org/W2762259416","https://openalex.org/W2896450672","https://openalex.org/W2911228568","https://openalex.org/W2999052880","https://openalex.org/W3007464329","https://openalex.org/W3036298167","https://openalex.org/W3047561574","https://openalex.org/W3120666106","https://openalex.org/W3130937151","https://openalex.org/W4280572991","https://openalex.org/W4377018606","https://openalex.org/W4399125735","https://openalex.org/W4410513597","https://openalex.org/W4414183234"],"related_works":["https://openalex.org/W7221453499","https://openalex.org/W7126373365","https://openalex.org/W4319335303","https://openalex.org/W4409226234","https://openalex.org/W7037005405","https://openalex.org/W4392777007","https://openalex.org/W2532538358","https://openalex.org/W3127747976","https://openalex.org/W2146862352","https://openalex.org/W7204584114"],"abstract_inverted_index":{"Abstract":[0],"Neurologic":[1],"autoantibody":[2],"cell-based":[3],"assay":[4],"images":[5],"are":[6],"difficult":[7],"to":[8,36],"interpret":[9],"when":[10],"fluorescence":[11],"is":[12],"weak,":[13],"focal":[14],"or":[15,106],"dominated":[16],"by":[17],"background":[18],"signal.":[19],"We":[20],"developed":[21],"a":[22,137,145],"visual":[23,132],"artificial":[24],"intelligence":[25],"overlay":[26,82],"that":[27],"transfers":[28],"detected":[29],"cell":[30],"boundaries":[31],"from":[32],"the":[33,37,71,80,92,113,123],"structural":[34],"channel":[35],"antibody-staining":[38],"image":[39],"and":[40,45,60,77,83,116],"evaluated":[41],"standalone":[42],"model":[43,58,84,89,124],"concordance":[44],"its":[46,142],"association":[47],"with":[48,79,91],"reader":[49],"classifications.":[50],"The":[51,87,126],"analysis":[52],"used":[53],"2":[54],"763":[55],"records":[56,63,73],"for":[57,104],"development":[59],"499":[61],"held-out":[62,72],"spanning":[64],"14":[65],"antibody":[66],"targets.":[67],"Four":[68],"readers":[69],"assessed":[70],"first":[74],"without":[75],"assistance":[76],"then":[78],"boundary":[81],"category":[85],"available.":[86],"selected":[88],"agreed":[90],"reader-derived":[93],"three-class":[94],"reference":[95],"in":[96,112],"85.2%":[97],"of":[98,139],"records,":[99],"but":[100],"recall":[101],"was":[102],"lowest":[103],"weak-positive":[105],"equivocal":[107],"records.":[108],"Reader":[109],"agreement":[110],"increased":[111],"assisted":[114],"session,":[115],"almost":[117],"all":[118],"revised":[119],"ratings":[120],"moved":[121],"towards":[122],"category.":[125],"combined":[127],"display":[128],"may":[129],"support":[130],"consistent":[131],"review":[133],"while":[134],"also":[135],"creating":[136],"risk":[138],"model-directed":[140],"anchoring;":[141],"role":[143],"as":[144],"second-read":[146],"aid":[147],"requires":[148],"independent":[149],"validation.":[150]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-20T00:00:00"}
