{"uid":"cap_U1oEH18MHOz8jPJzcfu4-","slug":"sins-score-calculator-fisher-2010-5b74bf53","name":"SINS Score Calculator (Fisher 2010)","description":"Fisher 2010 SINS. Location junctional 3 / mobile 2 / semirigid 1 / rigid 0. Pain mechanical 3 / occasional_not_mechanical 1 / pain_free 0. Bone lytic 2 / mixed 1 / blastic 0. Alignment subluxation_translation 4 / de_novo_deformity 2 / normal 0. Collapse gt_50 3 / le_50 2 / no_collapse_gt_50pct_body 1 / none 0. Posterolateral bilateral 3 / unilateral 1 / none 0. Max 18. Integer sum only; not later SOSG strata, not TLICS, not an operative order. magent does not read imaging. Not a medical device.","url":"https://api.magentlab.com/api/calc/sins","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":["location","pain","bone","alignment","collapse","posterolateral"],"properties":{"bone":{"enum":["lytic","mixed","blastic"],"type":"string","description":"Caller-assigned bone lesion quality (Fisher 2010). lytic scores 2; mixed scores 1; blastic scores 0. magent does not read imaging."},"pain":{"enum":["mechanical","occasional_not_mechanical","pain_free"],"type":"string","description":"Caller-assigned pain (Fisher 2010): pain relief with recumbency and/or pain with movement/loading. mechanical (yes) scores 3; occasional_not_mechanical (occasional pain but not mechanical) scores 1; pain_free scores 0. magent does not interview the patient."},"collapse":{"enum":["gt_50","le_50","no_collapse_gt_50pct_body","none"],"type":"string","description":"Caller-assigned vertebral body collapse (Fisher 2010). gt_50 (>50% collapse) scores 3; le_50 (≤50% collapse) scores 2; no_collapse_gt_50pct_body (no collapse with >50% body involved) scores 1; none scores 0. magent does not read imaging."},"location":{"enum":["junctional","mobile","semirigid","rigid"],"type":"string","description":"Caller-assigned SINS location (Fisher 2010 Table 8). junctional (occiput-C2, C7–T2, T11–L1, L5–S1) scores 3; mobile (C3–C6, L2–L4) scores 2; semirigid (T3–T10) scores 1; rigid (S2–S5) scores 0. magent does not read imaging."},"alignment":{"enum":["subluxation_translation","de_novo_deformity","normal"],"type":"string","description":"Caller-assigned radiographic spinal alignment (Fisher 2010). subluxation_translation scores 4; de_novo_deformity (kyphosis/scoliosis) scores 2; normal scores 0. magent does not read imaging."},"posterolateral":{"enum":["bilateral","unilateral","none"],"type":"string","description":"Caller-assigned posterolateral involvement of spinal elements (facet, pedicle, or costovertebral joint fracture or replacement with tumor; Fisher 2010). bilateral scores 3; unilateral scores 1; none scores 0. magent does not read 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_MFlNAhN63cDwBD8ZajfZQ","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":"Computes the Spinal Instability Neoplastic Score (SINS) integer total from six caller-assigned clinical and radiographic parameters per Fisher 2010.","exampleAgentPrompt":"Calculate the SINS score for a patient with a junctional spinal metastasis, mechanical pain, a lytic lesion, subluxation on imaging, greater than 50% vertebral collapse, and bilateral posterolateral involvement.","exampleUseCases":[{"title":"Spine met surgical triage decision support","prompt":"I have a cancer patient with a T12 lesion — that's junctional. They have mechanical back pain, a lytic lesion on imaging, de novo kyphotic deformity, less than or equal to 50% vertebral body collapse, and unilateral posterolateral involvement. What's their SINS score?"},{"title":"Oncology EMR documentation automation","prompt":"Automatically compute the Fisher 2010 SINS score for today's patient: mobile spine location, occasional non-mechanical pain, mixed bone lesion, normal alignment, no collapse but more than 50% of the body involved, and no posterolateral involvement."},{"title":"Multidisciplinary tumor board preparation","prompt":"Before our tumor board, calculate the SINS score for the L3 patient — mobile segment, pain-free, blastic lesion, normal spinal alignment, no collapse, and no posterolateral disease."}],"resultDescription":"Returns an integer SINS total (0–18) computed by summing the six subscores: location (0–3), pain (0 or 1 or 3), bone quality (0–2), alignment (0, 2, or 4), collapse (0–3), and posterolateral involvement (0, 1, or 3). Higher scores indicate greater neoplastic spinal instability.","failureModes":["Missing required query parameter returns validation error","Invalid enum value for any parameter returns 400-level error","Score is only as accurate as caller-assigned inputs — magent does not read imaging or interview the patient","Does not implement SOSG strata, TLICS, or operative indications — only the raw integer sum"],"whenToPreferThis":"Use this endpoint when you need a programmatic, deterministic computation of the Fisher 2010 SINS integer total from already-adjudicated clinical and radiographic parameters. It is purpose-built for SINS only — not TLICS, not later SOSG stratification tables, and not any other spinal scoring system. Prefer it over general-purpose LLM arithmetic when you need a reliable, auditable numeric output with defined subscores.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T19:01:02.159Z","isFirstParty":false}