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A platelet-related signature for predicting the prognosis and immunotherapy benefit in bladder cancer based on machine learning combinations.

Transl Androl Urol · 2024
L1 51/100 PQI 84
⚑ Flagged for review — a reproduced result did not match the reported value

Provisional — an automated or curator check raised a specific concern and points reviewers here. This is NOT a final assessment and not a determination about the authors.

Why this verdict

The main results reproduced, with only marginal, non-material deviations.

Reproduced on the brainbox compute brainarbeit.com
Scoring basis — itemised

Every item that counted toward this verdict, and the exact part of the reproduction that produced it.

Supporting (toward a concern)
Content-critical question only partially held
+2 pts
From: Q5 · Derivability / plausibility 🟡
Content-critical question only partially held
+2 pts
From: Q7 · Core claim 🟡
Content-critical question only partially held
+2 pts
From: Q8 · Severity of the miss (overall human judgment) 🟡
Minor / cosmetic deviation
+1 pts
From: Q4 · Cause of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q6 · Severity of the deviation 🟡
Concordant (toward reproduced)
Code + data deposited & functional
-2 pts
From: Data & code availability Available & functional
Total score +6
✓ What held up
  • Reported values were directly comparable
What did not (or only partly)
  • 🟡Could not use the authors’ exact input data
  • 🔴A deviation arose in the data or preprocessing
  • 🟡A deviation was attributed to the published material
  • 🟡Reported values were not (fully) derivable from the shared data
  • 🟡The deviation was non-trivial in magnitude
  • 🟡The central claim did not (fully) hold under reproduction
  • 🟡Overall, the reproduction showed a material discrepancy
How its reproducibility compares
51/100
Reproducibility score
1.3 SD below mean
vs. all fields · 1173 studies
🎯 Scores higher than 13% of all assessed papers rank 1018 of 1173 scored

A 0–100 reproducibility-quality score from the per-question grades, shown as a z-score: standard deviations above (+) or below (−) the mean of comparable assessments.

Reproduction agent’s raw note

Described well enough to attempt a clean 1:1 check. The paper re-uses the third-party IRLS ML-combination framework (github.com/Zaoqu-Liu/IRLS @7951eac), which ships only colorectal lncRNA demo data, so I reproduced the paper's OWN published 10-gene Elastic-Net platelet risk score on its OWN named accession GSE31684 (GPL570, n=93) on «our HPC»: all 10 signature genes mapped and the printed coefficients were applied verbatim, then I recomputed the 1/3/5-yr time-dependent AUC + Harrell C-index. RESULT = PARTIAL: the signature is prognostic in the correct direction (AUC>0.5, C 0.55-0.58) and the 1-yr AUC roughly reproduces (best 0.611 vs reported 0.631), BUT the reported 3-yr (0.694) and 5-yr (0.707) AUCs are ~0.09-0.12 higher than anything the published formula yields on GSE31684, and that shortfall is ROBUST across 4 preprocessing variants (overall vs disease-specific survival x z-score vs raw log2). This is logged as a possible-optimism flag for human review (not an accusation; benign explanations exist: probe-collapse choice, the exact n=90 subset, a different time-AUC estimator, or per-cohort coefficient refitting). NOT ATTEMPTED (hard 20%): the full 101-combination IRLS rerun selecting Enet(alpha=0.4) at C=0.73 - it needs unshipped inputs (the 480-PRG list, the 5084 DEGs, the 19-gene Cox panel, and 5 harmonized cohorts incl. TCGA-BLCA); and the wet-lab TUBA1C knockdown / immune-TME / IMvigor210 downstream (out of computational scope).

💻 Code ↗ 🗄 Data: GSE31684

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Assessment versions

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  1. v1 current initial assessment Score 51
    assessed: 2026-06-14 ⛓ b85722ba422d
✎ I am an author of this paper

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Reproduced
2026-06-14
Rubric version
v1.0
Assessed by
🤖 AI curator · claude (ai-curator room) · v1.0 · run #1 2026-06-15
no human curator yet
Last updated
2026-08-05

Provisional, curator- or AI-assessed, and independently checkable. A reproduction outcome states what one attempt could reproduce — not a judgement of the authors.

Deep full-text extraction

Model: opus
Founding hypothesis

Because platelets play vital roles in tumor progression and therapy response yet the role of a platelet-related signature (PRS) in bladder cancer is unclear, the authors test whether platelet-related genes can be used to build a machine-learning-based PRS that predicts prognosis and immunotherapy benefit in bladder cancer.

Core claims
  • An Enet (alpha=0.4) machine-learning-derived 10-gene platelet-related signature is the optimal prognostic model for bladder cancer, with the highest average C-index of 0.73. method
  • High PRS score is an independent risk factor predicting worse overall survival in bladder cancer across TCGA and GEO cohorts. finding
  • Low PRS score is associated with greater immune activation and higher predicted immunotherapy benefit (higher TMB, immunophenoscore; lower TIDE, ITH, immune escape). finding
  • PRS predicts response to immunotherapy, with higher PRS in non-responders across IMvigor210, GSE91061 and GSE78220 cohorts. finding
  • TUBA1C is upregulated in bladder cancer and its knockdown suppresses tumor cell proliferation. mechanism
  • PRS outperforms 52 previously published bladder cancer signatures and clinical characteristics by C-index. finding
  • Low PRS score is associated with lower IC50 of chemotherapy and targeted drugs (e.g., cisplatin, paclitaxel, lapatinib). finding
  • The PRS provides a tool for prognosis prediction, risk stratification, and treatment guidance in bladder cancer. resource
Experimental setups
Assay System Perturbation Readout Platform
Bulk RNA-seq / microarray gene expression analysis (DEG identification with limma) Bladder cancer vs normal tissue (TCGA n=396; GSE13507 n=165; GSE31684 n=90; GSE32894 n=223; GSE48276 n=73) none Differentially expressed genes; gene expression for signature construction
Machine learning prognostic modeling (101 combinations of 10 algorithms, LOOCV; Cox regression) Bladder cancer patient cohorts (TCGA training; GEO validation) none C-index, risk score (PRS), overall survival, ROC/AUC
Immune infiltration / immunotherapy prediction analysis (ESTIMATE, TIMER, xCell, MCP-counter, CIBERSORT, EPIC, quanTIseq, GSVA, TMB, immunophenoscore, TIDE, DEPTH2/ITH) Bladder cancer cohorts (TCGA; immunotherapy cohorts IMvigor210 n=298, GSE91061 n=98, GSE78220 n=28) anti-PD-1 immunotherapy (in immunotherapy cohorts) Immune cell scores, immune checkpoint/HLA expression, TMB, immunophenoscore, TIDE/ITH/immune escape scores, immunotherapy response
Drug sensitivity analysis (oncoPredict) Bladder cancer cases (TCGA), GDSC data drug (docetaxel, cisplatin, 5-FU, paclitaxel, axitinib, crizotinib, foretinib, lapatinib) IC50 by PRS group oncoPredict R package / GDSC
RT-qPCR Bladder cancer cell lines (RT4, T24, J82, UM-UC-3, 5637) and normal bladder cell line SV-HUC-1 none / baseline expression TUBA1C mRNA expression normalized to GAPDH SYBR Premix Ex Taq, ABI 7900HT
siRNA knockdown + CCK-8 proliferation assay UM-UC-3 and 5637 bladder cancer cell lines TUBA1C siRNA knockdown (vs scrambled NC siRNA) Cell proliferation index (OD ratio) Lipofectamine 3000; CCK-8 (Beyotime)
Wound healing assay Bladder cancer cell lines (UM-UC-3, 5637) TUBA1C siRNA knockdown Cell migration
Immunohistochemistry Bladder cancer vs normal tissue (Human Protein Atlas) none TUBA1C protein expression Human Protein Atlas
Key results
  • Enet (alpha=0.4) 10-gene PRS achieved the highest average C-index among 101 models C-index=0.73
  • High PRS score predicted worse overall survival in TCGA cohort 1-/3-/5-year AUC = 0.754/0.779/0.806
  • PRS prognostic performance validated in GEO cohorts (GSE32894 AUCs) GSE32894 AUC 0.788/0.774/0.809; GSE48276 0.837/0.729/0.722
  • PRS score negatively correlated with CD8+ T cells, NK cells, macrophage M1 and immune-activated functions
  • Low PRS group had higher TMB and PD-1/CTLA4 immunophenoscore, lower TIDE/ITH/immune escape scores
  • Higher PRS score found in immunotherapy non-responders; high PRS predicted worse survival in IMvigor210 P=0.002 (survival)
  • TUBA1C knockdown suppressed bladder cancer cell proliferation
  • Low PRS score associated with lower IC50 of chemo and targeted drugs
Key statistics
  • other C-index=0.73 (Average C-index of optimal Enet (alpha=0.4) PRS)
  • other AUC 0.754, 0.779, 0.806 (1-, 3-, 5-year ROC AUC for PRS in TCGA cohort)
  • count 5,084 DEGs (DEGs in bladder cancer (|log2FC|≥1.5, P<0.05))
  • count 480 PRGs; 19 prognostic genes; 10-gene signature (Platelet-related genes narrowed to final signature)
  • pvalue P=0.002 (Overall survival difference by PRS in IMvigor210 anti-PD-1 cohort)
  • fold_change TUBA1C coefficient 0.7020 (Largest coefficient/contribution among PRS genes)
  • count 52 gene signatures (Published bladder cancer signatures compared against PRS)
  • other AUC 0.627/0.679/0.737; 0.631/0.694/0.707 (1-/3-/5-year AUC in GSE13507 and GSE31684 cohorts)

Statistical methods review

Model: sonnet

A neutral, descriptive read of the statistical approach — what was done, and (for shared learning, not as criticism) what could also have been done.

The study developed a platelet-related prognostic signature (PRS) for bladder cancer by fitting 101 machine learning algorithm combinations to TCGA training data and selecting the optimal model (elastic net, alpha=0.4) by average C-index across four independent GEO validation cohorts. The signature was evaluated for independent prognostic value by univariate and multivariate Cox regression, for survival discrimination by Kaplan-Meier curves and time-dependent ROC analysis, and for immunotherapy predictive utility by comparing immune infiltration scores, checkpoint expression, TMB, TIDE, ITH, and drug IC50 values between PRS-stratified groups across seven additional datasets. In vitro siRNA knockdown of TUBA1C—the gene with the highest PRS coefficient—was conducted in two bladder cancer cell lines and assessed by CCK-8 proliferation assay.

Replicationmixed Sample sizeCohort sizes stated per dataset (TCGA n=396; four GEO prognostic cohorts n=165, 90, 223, 73; three immunotherapy cohorts n=298, 98, 28); no formal power calculation described; in vitro CCK-8 assay performed in triplicate wells (5,000 cells/well) GroupsHigh vs. low PRS score (bladder cancer patients across multiple cohorts); immunotherapy responders vs. non-responders; TUBA1C siRNA knockdown vs. scrambled siRNA control in UM-UC-3 and 5637 cell lines Pairingunpaired Randomization/blindingnot stated Dispersionunclear Exact p-valuesno Effect sizesyes Confidence intervalsyes Multiplicity correctionnone stated
Statistical tests used
Test Applied to n Assumptions
limma-based moderated t-test (differential expression) DEG identification between bladder cancer and normal tissue in TCGA; threshold |log2FC|≥1.5 and P<0.05 TCGA cancer n=396; number of normal samples not stated not stated
Univariate Cox proportional hazards regression Screening 480 PRGs for prognostic relevance; evaluating PRS and clinical covariates as risk factors across all cohorts TCGA n=396; GSE13507 n=165; GSE31684 n=90; GSE32894 n=223; GSE48276 n=73 not stated
Elastic net regularized Cox regression (Enet, alpha=0.4), LOOCV framework across 101 algorithm combinations PRS model construction in TCGA training cohort; model selection by average C-index across GEO cohorts TCGA n=396 not stated
Kaplan-Meier survival analysis (log-rank test implied) Overall survival comparison between high and low PRS groups in five prognostic cohorts and three immunotherapy cohorts TCGA n=396; GSE13507 n=165; GSE31684 n=90; GSE32894 n=223; GSE48276 n=73; IMvigor210 n=298; GSE91061 n=98; GSE78220 n=28 not stated
Time-dependent ROC / AUC 1-, 3-, and 5-year survival prediction performance across all prognostic cohorts Per cohort as above na
Multivariate Cox proportional hazards regression Confirming PRS as independent risk factor after adjusting for age, gender, tumor grade, and clinical stage TCGA n=396 and all GEO cohorts not stated
Unpaired Student's t-test, one-way ANOVA, Chi-squared test, or Fisher's exact test (as appropriate) Between-group comparisons of immune cell abundance, ESTIMATE/immune/stromal scores, TMB, immunophenoscore, TIDE, ITH, IC50 drug values, and immunotherapy response rates (high vs. low PRS) null not stated
GSEA (gene set enrichment analysis) and GSVA (gene set variation analysis) Functional pathway enrichment and hallmark gene set scores across PRS groups null na
Approaches that could also have been used
  • The PRS stratification cutoff was determined using the surv_cutpoint function, which selects the threshold that maximizes the log-rank statistic within the same dataset
    Could also: A pre-specified cutoff (e.g., median, tertiles, or a clinically motivated value) could also be applied, or the continuous PRS score could be modeled directly in a Cox model — A data-driven cutpoint optimized on the test sample inflates type I error and may reduce reproducibility across external cohorts; a fixed or pre-specified threshold would be more transportable and avoids the statistical penalty of implicit multiple testing over possible cut values
  • Model selection from 101 algorithm combinations was based on average C-index evaluated in the same GEO datasets used for comparative performance reporting throughout the paper
    Could also: Nested cross-validation or bootstrap resampling, with a completely separate held-out test set reserved exclusively for final performance estimation, could also be used — When the same external cohorts serve both as the selection criterion and as the reported benchmark, the reported C-index may reflect the best of many candidates rather than unbiased generalization; a nested design or fully independent test set would provide a less optimistic performance estimate
  • Dozens of simultaneous between-group comparisons (immune cell types, drug IC50 values, biomarker scores, checkpoint genes) were each tested at an unadjusted P<0.05 threshold
    Could also: Applying a Benjamini-Hochberg FDR correction across each family of related comparisons would also be a standard approach — With many simultaneous tests, the expected number of false positives at P<0.05 increases proportionally; FDR adjustment quantifies and controls the expected proportion of false discoveries among declared significant results
  • DEG filtering used an unadjusted P<0.05 threshold alongside |log2FC|≥1.5 across thousands of transcripts
    Could also: Applying a Benjamini-Hochberg FDR-adjusted q-value threshold (e.g., q<0.05 or q<0.1) as the primary filter is also standard with limma for large-scale differential expression — At the scale of a transcriptome-wide test, unadjusted P<0.05 is expected to yield a substantial proportion of false-positive DEGs; FDR adjustment would reduce the number of spurious genes entering the PRG candidate pool
  • Results from seven independent immune deconvolution algorithms (TIMER, xCell, MCP-counter, CIBERSORT, CIBERSORT-ABS, EPIC, quanTIseq) were reported in parallel without formal synthesis
    Could also: A consensus or rank-aggregation approach across algorithms could also produce a single, integrated estimate per immune cell type — Individual deconvolution methods use different reference matrices and statistical assumptions and do not always agree; a consensus score reduces algorithm-specific noise and facilitates a cleaner, single interpretation per cell type
  • Survival outcomes were summarized by dichotomizing patients into high vs. low PRS score groups for Kaplan-Meier display
    Could also: Modeling the continuous PRS score with restricted cubic splines in a Cox model could also characterize the survival-risk relationship — Dichotomization discards the prognostic information within each half of the distribution and can obscure dose-response non-linearity; a continuous spline model preserves the full distribution and allows visualization of whether the PRS-hazard relationship is monotonic or has inflection points
Software: R 3.5.0 · R/limma · R/survminer (surv_cutpoint) · R/GSVA · R/oncoPredict · ESTIMATE algorithm · CIBERSORT, CIBERSORT-ABS, TIMER, xCell, MCP-counter, EPIC, quanTIseq (immune deconvolution) · DEPTH2 (intratumor heterogeneity scoring)

Citation network

Where this publication sits in the reproducibility-weighted citation graph — what it is built on, and what is built on it. Citation data from OpenAlex.

Citations
2
Impact: low
Foundation confidence
None of its references are in our reproducibility record yet — its foundation cannot be assessed.
Topics

No assessed neighbours yet — the network grows as more papers are assessed.

Data lineage

The datasets this paper uses (text-mined from the full text via Europe PMC), and which other assessed papers stand on the same data. A shared dataset is a factual link — not a judgement.

GSE31684 GEO in Abstract (http://purl.org/dc/terms/abstract)
also used by 1 paper:
GSE48276 GEO in Abstract (http://purl.org/dc/terms/abstract)
no other assessed paper uses this yet

Downstream reach in the literature

170 downstream papers · 2 datasets

How widely the datasets deposited by this paper are reused across the whole literature (Europe PMC), beyond our assessed set. This is a factual dependency map — reusing a public dataset is normal, good science. It is not a judgement on the downstream papers; the only verdict here is this paper's own, with its cited rationale.

This paper is currently under reproducibility review (see the verdict above). The map below shows where the data in question has propagated — so reuse can be traced, not so the downstream work is presumed affected.

What was reproduced

The exact results taken into scope, with each reported value next to the value our attempt produced.

Scope — pmid-39280688

Paper: Chen et al. (2024) Transl Androl Urol. "A platelet-related signature for predicting the prognosis and immunotherapy benefit in bladder cancer based on machine learning combinations." PMID 39280688 · PMCID PMC11399026 · DOI 10.21037/tau-24-80.

Code referenced by paper: https://github.com/Zaoqu-Liu/IRLS — this is the Zaoqu-Liu lab's generic "integrative machine-learning + LOOCV" framework (the Machine Learning based intergration.R script that builds 101 model combinations from 10 algorithms). The repo ships the lab's colorectal lncRNA demo data (model-prepare.rda), not the bladder-cancer inputs of this paper. So the repo is a third-party tool re-used by the paper — applying it (or the model it produced) to the paper's own data is a valid reproduction (BRIEF rule P16).

The pipeline (paper Methods)

  1. Collect 480 platelet-related genes (PRGs) from GSEA "platelet" gene sets.
  2. DEGs (|log2FC|≥1.5, p<0.05) → 5084; ∩ PRGs + univariate Cox → 19 prognostic PRGs.
  3. Feed the 19 genes into the IRLS framework: 10 ML algorithms → 101 combinations, LOOCV in TCGA-BLCA (n=396), scored by mean C-index across 5 cohorts (TCGA, GSE13507, GSE31684, GSE32894, GSE48276).
  4. Winner: Elastic Net (Enet, alpha=0.4), 10-gene signature, mean C-index 0.73.
  5. Published model (Fig 2 / Results): RS = 0.2011·P2RY1 + 0.1512·PDPN − 0.1285·DGKQ + 0.1692·MMRN1 + 0.1568·RSU1 + 0.2870·GNB3 + 0.7020·TUBA1C + 0.0880·MFN2 − 0.0941·RABGAP1L + 0.0006·KIF1B
  6. Downstream: TME/immune-checkpoint/TMB/IPS comparisons, IMvigor210 immunotherapy response, TUBA1C knockdown CCK-8 (wet-lab).

In scope (attempted)

  • R1 — Validate the published 10-gene Enet signature on GSE31684 (the paper's named data accession; Affymetrix GPL570, n≈93, has survival.months + last known status). Recompute the time-dependent AUC at 1/3/5 years and Harrell's C-index, compare to the paper's reported GSE31684 values (AUC 0.631 / 0.694 / 0.707). This is the cleanest 1:1 check: paper's own model formula → paper's own data → same metric. Uses the standard IRLS preprocessing (per-gene z-score within cohort).

Out of scope / not attempted (the hard ~20%) — and why

  • Full 101-combination IRLS rerun selecting Enet(alpha=0.4) at C=0.73. Requires the unshipped inputs: the exact 480-PRG list, the 5084 DEGs, the 19-gene Cox panel, and 5 harmonized cohorts (incl. TCGA-BLCA RNA + survival). The repo ships only colorectal demo data; the bladder inputs are not provided. Reconstructing the gene-selection cascade would not be a faithful reproduction of their run.
  • Other cohorts' AUCs (TCGA/GSE13507/GSE32894/GSE48276) — could be added with more per-cohort clinical wrangling; GSE31684 is the named accession and suffices for a clear data point. Optionally added if the primary run is clean.
  • Wet-lab (TUBA1C knockdown, CCK-8) — not computational, out of scope.
  • Immune/TME/IMvigor210 downstream — depends on the constructed risk groups; secondary, not attempted in the 80%.

Caveat affecting exactness

The reported per-cohort AUC depends on (a) probe→gene collapse, (b) expression normalization (z-score vs raw log), and (c) the OS event definition. We fix these to the conventional IRLS choices and report them explicitly; small deviations from 0.631/0.694/0.707 are expected and graded honestly (within-tol / partial).

Figures / tables: Fig 2
C1
Reported
GSE31684 AUC@1yr = 0.631
Reproduced
0.611 (best of 4 variants; range 0.571-0.611)
within tolerance
C2
Reported
GSE31684 AUC@3yr = 0.694
Reproduced
0.604 (best; range 0.568-0.604)
did not match
C3
Reported
GSE31684 AUC@5yr = 0.707
Reproduced
0.587 (best; range 0.539-0.587)
did not match
C5
Reported
10-gene Enet signature + fixed coefficients
Reproduced
all 10 genes present on GPL570 and applied 1:1
exact
C4
Reported
winner Enet(alpha=0.4), mean C-index 0.73 across 5 cohorts
Reproduced
not rerun
partial

Assessments & scoring basis

Each contributor’s verdict, the per-question basis, and the auditable, itemised worksheet behind it.

🤖 AI curator · claude (ai-curator room) · v1.0 L1 51/100

An automated assessment. It can flag an open question for review but can never, on its own, record a discrepancy verdict (C5) against a paper.

🟡1. Data identity
🟢2. Endpoint comparability
🔴3. Location of the main deviation
🟡4. Cause of the deviation
🟡5. Derivability / plausibility
🟡6. Severity of the deviation
🟡7. Core claim
🟡8. Severity of the miss (overall human judgment)
Scoring basis — itemised

Every item that counted toward this verdict, and the exact part of the reproduction that produced it.

Supporting (toward a concern)
Content-critical question only partially held
+2 pts
From: Q5 · Derivability / plausibility 🟡
Content-critical question only partially held
+2 pts
From: Q7 · Core claim 🟡
Content-critical question only partially held
+2 pts
From: Q8 · Severity of the miss (overall human judgment) 🟡
Minor / cosmetic deviation
+1 pts
From: Q4 · Cause of the deviation 🟡
Minor / cosmetic deviation
+1 pts
From: Q6 · Severity of the deviation 🟡
Concordant (toward reproduced)
Code + data deposited & functional
-2 pts
From: Data & code availability Available & functional
Total score +6

This is a clean 1:1 check — the paper's published 10-gene Elastic-Net platelet signature (all 10 genes + coefficients transcribed exactly, C5 exact) applied to its own named GEO accession GSE31684. The 1-year AUC reproduces closely (0.611 vs reported 0.631) and the signature is prognostic in the correct direction, but the reported 3yr (0.694) and 5yr (0.707) AUCs are not derivable from the published formula — our best is 0.604/0.587, a ~0.09-0.17 shortfall that is robust across 4 preprocessing variants. The deviation sits in the output statistic rather than the input model; cause is genuinely ambiguous between our methodological choices (probe-collapse, exact n=90 subset, time-AUC estimator) and optimistic authors'-side reporting, so it is flagged for human review as possible-optimism, not fabrication. Overall: a solid reproduction with real, explainable but unresolved mid/long-term discrepancies — yellow.

🤝
Reproduced automatically — and fairly

Automated reproduction checks whether a published result can be regenerated from the paper’s described methods and shared data. When something does not reproduce, that is not a claim of error or misconduct — most often it reflects under-described methods, software or environment differences, or gaps in data access, and some of the pre-print papers in the queue may carry issues their authors had no part in. The goal is shared awareness that rigorous, fully-described methods help everyone — never a judgement of any author.

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Reproduction footprint

claude-opus-4-8

Measured resources invested to assess this paper — sanitised (machine class only, no job ids/paths). Compute = HPC accounting (SLURM); tokens = the AI agent's session.

147.8 k
tokens (I/O) · 11.8 M incl. cache
19 min
runtime · 0.01 CPU-h
1.7 GB
peak RAM
2
HPC jobs
hummel
machine