{"uid":"cap_8_qf0gC48EgtDlyKB17Xm","slug":"denver-bcvi-screening-calculator-modified-cothren-2005-10a02932","name":"Denver BCVI Screening Calculator (Modified Cothren 2005)","description":"Modified Denver BCVI (Cothren 2005). Positive if any sign (arterial hemorrhage; cervical bruit age <50; expanding cervical hematoma; focal deficit; neuro exam incongruous with head CT; stroke on secondary CT) or any risk factor (LeFort II/III; C-spine subluxation, transverse foramen, or C1-C3; basilar skull with carotid canal; DAI with GCS <6; near hanging with anoxia). Imaging indicated when positive. Not Biffl grade, expanded Denver, NEXUS, or Canadian C-spine. magent does not read CTA.","url":"https://api.magentlab.com/api/calc/denver_bcvi","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["arterial_hemorrhage","cervical_bruit_age_lt_50","expanding_cervical_hematoma","focal_neuro_deficit","neuro_exam_incongruous_head_ct","stroke_on_secondary_ct","lefort_ii_or_iii","cspine_subluxation_transverse_foramen_or_c1_c3","basilar_skull_fracture_carotid_canal","dai_gcs_lt_6","near_hanging_anoxic_brain_injury"],"properties":{"dai_gcs_lt_6":{"type":"boolean","description":"High-energy transfer with diffuse axonal injury and GCS <6 as assigned by the caller (Cothren 2005 Table 1 risk factor). true or false. Caller assigns the published compound; magent does not take a GCS integer."},"lefort_ii_or_iii":{"type":"boolean","description":"High-energy transfer with LeFort II or III fracture as assigned by the caller (Cothren 2005 Table 1 risk factor). true or false. A true flag is a published indication for imaging. magent does not interpret facial imaging."},"arterial_hemorrhage":{"type":"boolean","description":"Arterial hemorrhage as assigned by the caller (Cothren 2005 Table 1 sign). true or false. A true flag is a published indication for imaging. magent does not examine the patient."},"focal_neuro_deficit":{"type":"boolean","description":"Focal neurologic deficit as assigned by the caller (Cothren 2005 Table 1 sign). true or false. A true flag is a published indication for imaging. magent does not examine the patient."},"stroke_on_secondary_ct":{"type":"boolean","description":"Stroke on secondary CT scan as assigned by the caller (Cothren 2005 Table 1 sign). true or false. magent does not read a CT scan."},"cervical_bruit_age_lt_50":{"type":"boolean","description":"Cervical bruit in a patient younger than 50 years as assigned by the caller (Cothren 2005 Table 1 sign). true or false. Caller assigns the published <50 indication; magent does not take numeric age."},"expanding_cervical_hematoma":{"type":"boolean","description":"Expanding cervical hematoma as assigned by the caller (Cothren 2005 Table 1 sign). true or false. A true flag is a published indication for imaging. magent does not examine the neck."},"neuro_exam_incongruous_head_ct":{"type":"boolean","description":"Neurologic exam incongruous with head CT scan findings as assigned by the caller (Cothren 2005 Table 1 sign). true or false. magent does not read a head CT."},"near_hanging_anoxic_brain_injury":{"type":"boolean","description":"High-energy transfer with near hanging and anoxic brain injury as assigned by the caller (Cothren 2005 Table 1 risk factor). true or false. magent does not classify mechanism."},"basilar_skull_fracture_carotid_canal":{"type":"boolean","description":"High-energy transfer with basilar skull fracture with carotid canal involvement as assigned by the caller (Cothren 2005 Table 1 risk factor). true or false. magent does not interpret skull imaging."},"cspine_subluxation_transverse_foramen_or_c1_c3":{"type":"boolean","description":"High-energy transfer with the published C-spine patterns (subluxation, fracture extending into the transverse foramen, or fracture of C1-C3) as assigned by the caller (Cothren 2005 Table 1 risk factor). true or false. Not any cervical-spine fracture. magent does not interpret C-spine imaging."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_bbOX07Sj4VGr9ZDwKzqwX","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Evaluates blunt cerebrovascular injury (BCVI) screening criteria using the modified Denver protocol to determine whether vascular imaging is indicated","exampleAgentPrompt":"I have a blunt trauma patient under 50 with a cervical bruit and a LeFort III fracture — no arterial hemorrhage, no expanding hematoma, no focal deficit, no incongruous neuro exam, no stroke on CT, no C-spine subluxation or transverse foramen injury, no basilar skull fracture involving the carotid canal, no DAI with GCS under 6, and no near hanging. Does the modified Denver BCVI protocol indicate vascular imaging?","exampleUseCases":[{"title":"Post-trauma CTA triage decision","prompt":"My trauma patient has an expanding cervical hematoma and a focal neurologic deficit after a high-speed MVC — no LeFort fracture, no bruit, no arterial hemorrhage, neuro exam is congruous with the head CT, no stroke on CT, no C-spine subluxation, no basilar skull fracture, no DAI, no hanging injury. Run the modified Denver BCVI screen and tell me if imaging is indicated."},{"title":"C-spine fracture BCVI workup indication","prompt":"Patient has a C1-C3 fracture with transverse foramen involvement after a fall. No signs of arterial hemorrhage, no cervical bruit, no expanding hematoma, no focal deficit, exam matches the CT, no secondary stroke, no LeFort fracture, no DAI with low GCS, no near hanging. Should I order CTA based on the modified Denver BCVI criteria?"},{"title":"Near-hanging anoxic injury screening","prompt":"I have a near-hanging patient with documented anoxic brain injury. No arterial hemorrhage, no cervical bruit, no expanding hematoma, no focal deficit, exam is congruous with CT, no stroke on secondary CT, no LeFort fracture, no C-spine subluxation, no basilar skull fracture at the carotid canal, no DAI with GCS under 6. Does the modified Denver BCVI protocol say imaging is indicated?"}],"resultDescription":"Returns a positive or negative BCVI screen result based on the modified Denver criteria (Cothren 2005). A positive result indicates that vascular imaging (CTA of the neck vessels) is warranted. The response reflects which of the 11 boolean flags were true and whether any sign or risk factor was present. The endpoint does not perform imaging, interpret CT scans, or assign a Biffl grade.","failureModes":["Missing required boolean parameters returns a validation error","Passing non-boolean values for any flag causes schema rejection","Ambiguous compound criteria (e.g. DAI with GCS) must be pre-resolved by the caller — the endpoint does not accept raw GCS integers","Result is only as accurate as caller-assigned flags; the endpoint does not validate clinical findings","No network connectivity or API unavailability returns an HTTP error"],"whenToPreferThis":"Use this endpoint when you need to apply the published modified Denver BCVI screening criteria (Cothren 2005) to a set of caller-assigned clinical flags to determine whether vascular imaging is indicated. Prefer this over Biffl grading (which requires imaging results), expanded Denver, NEXUS, or Canadian C-spine rules — those are distinct protocols not implemented here. This endpoint is appropriate for automating trauma triage workflows where the clinical signs and risk factors have already been evaluated by a clinician and need to be mapped to a screening decision.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T07:04:25.471Z","isFirstParty":false}