CANCER E-STAGING STANDALONE PROGRAM

Dr Sanjoy SanyalMBBS, MS, MSc (Edinburgh), ADPHA

Professor and Course Directorsanjoy.sanyal@bath.edu

Patent Pending January 2013

Abstract• Given the extreme complexity of grouping T, N, M

status of a tumor into its Stages, it is impossible to determine the Anatomical Stage of any cancer without the aid of complex TNM charts created by UICC.

• In order to render the process time- and user-friendly for the physician, an MS™ Excel-based e-Staging program was created for 26 cancers of human body.

• With just 4 mouse clicks one can arrive at the Stage of the cancer.

• This is a standalone tool, not requiring Internet connection, and can be used in a handheld device in any hospital or clinic.

Background• In the Union for International Cancer Control (UICC) TNM

classification, Tumor status (T) is designated as T1, T2 etc, lymph Node metastases (N) are designated as N0, N1 etc, and distant Metastases (M) are designated as M0, M1.

• For some cancers, like Seminoma of testis, Serum tumor marker (S) is an additional parameter.

• Each parameter may be further subdivided into 'a', 'b' etc.

• The three (or four) major parameters are grouped in increasing stages of cancer to give the Anatomical Stage of the cancer, designated by Roman numeral I, II etc.

• For many cancer, Stages may be subdivided into 'A', 'B'.

Cancer e-Staging Standalone Program• A multi-step process was used to create the e-

Staging Program.• It has 5 electronic pages, requiring 4 mouse clicks• Content page of the e-Staging tool gives a list of 26

cancers. • Once on any Tumor page, the physician is asked to

successively select the appropriate T, N, M status of that cancer.

• It takes the physician seamlessly through the 3 steps.

• Final page gives cancer Stage.

Content Page of e-Staging Program

First Mouse Click: Click on the cancer of choice, for which Staging is required

Tumor (T) Page of e-Staging Program

Second Mouse Click: Click on the Tumor status (T) of the cancer for which Staging is required

Node (N) Page of e-Staging Program

Third Mouse Click: Click on the Lymph Node status (N) of the cancer for which Staging is required

Metastases (M) Page of e-Staging Program

Fourth Mouse Click: Click on the Metastasis status (M) of the cancer for which Staging is required

Staging Page of e-Staging Program

Final Page: Gives the Anatomical Stage of the cancer for which Staging is required

Uniqueness of e-Staging Program• This interactive e-Staging tool is standalone, simpler (requiring

only 4 mouse clicks), quicker (just a few seconds) and easier than those from others that are all Web-based.

• It can be used by any physician with minimum computer skills. • It is portable, can be used in any hand-held device anywhere in

the hospital or clinic, and does not require Internet connection.

• It eliminates consulting complicated TNM charts, which are different for every tumor, and also the need to rely on memory, thus reducing errors and inconsistency between physicians.

• The tool can be incorporated in a hospital EMR with HL7. • It is future-scalable, with options to add more cancer sites to

the system.

Authorship and Conference Presentation• This paper and program was authored by Dr Sanjoy

Sanyal, Professor and Course Director of Neuroscience in Medical University of the Americas, Potworks, Charlestown, Nevis, St Kitts-Nevis, West Indies.

• It was accepted at the international Stanford Medicine X Conference, and presented as a poster in Stanford University School of Medicine, LKSC Conference Center, 291 Campus Drive, Stanford, California, CA 94305-5101, USA, on 30 September, 2012.

• Assistance of Medical University of the Americas in preparing the poster is gratefully acknowledged.

PATENT STATUS

Provisional Patent Application accepted by United States Patent and Trademark Office (USPTO), giving it a 'Patent Pending' status.

Process Flowchart for Implementation of Cancer e-Staging Standalone Program

Cancer e-Staging Standalone Program – Implementation Step 1

Cancer e-Staging Standalone Program – Implementation Step 2

Cancer e-Staging Standalone Program – Implementation Step 3

Cancer e-Staging Standalone Program – Implementation Step 4

Cancer e-Staging Standalone Program – Implementation Step 5

Stanford Medicine X Conference 2012

Stanford Medicine X Conference 2012

Stanford Medicine X Conference 2012