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Tokuhashi Score Calculator (Revised 2005)
x402
Tokuhashi Score Calculator (Revised 2005) is a paid API for AI agents from api.magentlab.com, paid per call via x402, $0.005/call, status unknown (last checked 2026-09-13).
Computes the Revised Tokuhashi 2005 score (0–15) for estimating prognosis in patients with spinal metastases, returning a numeric total and survival band.
Price / call$0.005
Success—
StatusUnknown
How this service works
Revised Tokuhashi 2005 (0-15). KPS poor/moderate/good 0/1/2. Extraspinal ge_3/one_or_two/none 0/1/2. Vertebral ge_3/two/one 0/1/2. Visceral unremovable/removable/none 0/1/2. Primary lung osteosarcoma stomach bladder esophagus pancreas 0; liver gallbladder unidentified 1; others 2; kidney uterus 3; rectum 4; thyroid prostate breast carcinoid 5. Palsy complete/incomplete/none 0/1/2. Bands 0-8/9-11/12-15. Not an operative order. Not 1990. Not SINS. Does not read imaging. Not a medical device.
Output
Returns the Revised Tokuhashi 2005 composite score (integer 0–15), the survival band classification (0–8, 9–11, or 12–15), and the individual subscores for each of the six clinical parameters (KPS, extraspinal mets, vertebral mets, visceral mets, primary site, palsy).
Example use cases
Palliative team prognosis review
“I'm reviewing a patient with lung cancer who has poor KPS, three or more extraspinal bone mets, two vertebral mets, unremovable visceral mets, and complete spinal cord palsy — can you run the Tokuhashi 2005 score and tell me which survival band they fall into?”
Spine oncology clinic pre-consult scoring
“Before the spine consult, run the Tokuhashi score for our patient: moderate KPS, one vertebral met, no extraspinal bone mets, removable visceral mets, primary is prostate, and no neurological deficit.”
Surgical decision support for metastatic spine disease
“We're deciding on surgical versus palliative management for a patient with thyroid cancer spine mets — good KPS, one vertebral lesion, two extraspinal bone mets, no visceral mets, incomplete palsy. What's the Tokuhashi 2005 total and band?”
Technical details
Endpoint
GEThttps://api.magentlab.com/api/calc/tokuhashiWhen to prefer
Use this endpoint when you need a fast, deterministic computation of the Revised Tokuhashi 2005 score from caller-supplied clinical parameters. Prefer it over manual lookup tables when building clinical decision-support agents, automating oncology documentation, or integrating prognosis scoring into electronic workflows. This endpoint is not a substitute for SINS scoring, imaging interpretation, or the original 1990 Tokuhashi criteria.
Side effects
- Missing required query parameter (kps, extraspinal, vertebral, visceral, primary, or palsy) returns a 400 error
- Invalid enum value for any parameter returns a 400 error
- Network timeout or server error returns a 5xx response
- Incorrect primary site token (e.g. using a free-text name instead of the defined enum) returns a validation error
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| inputrequired | object | |
| output | object |
Tags
x402
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