A medical-imaging command for checking cancer that has spread to the spine. It uses CT scans, optionally MRI, and calculates SINS, a score for tumor-related spinal instability.

Use it to assess metastatic spinal lesions across the spine or in the thoracic region, including the parts behind the spinal canal.

It brings lesion detection, spinal stability scoring, and treatment guidance into one assessment. It also makes clear when the required CT data is missing.

How zhangreling02-ai/3dslicer-claude-bridge configures Claude Code

Reuse

Borrowing it

Nothing to install: this file belongs to zhangreling02-ai/3dslicer-claude-bridge. Take a copy, put it at the same path in your own repository, and replace the rules that are about this project with yours.

Copy the file

curl -O https://raw.githubusercontent.com/zhangreling02-ai/3dslicer-claude-bridge/main/.claude/commands/onco-spine.md

Clone the repo

git clone --depth 1 https://github.com/zhangreling02-ai/3dslicer-claude-bridge

Made for: Claude Code.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

README.md

[![agentmods](https://agentmods.dev/badge/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine/github.svg)](https://agentmods.dev/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine)

Your own site

<a href="https://agentmods.dev/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine"><img src="https://agentmods.dev/badge/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

Your own site · 80×15

<a href="https://agentmods.dev/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine"><img src="https://agentmods.dev/badge/commands/zhangreling02-ai/3dslicer-claude-bridge/onco-spine.svg" alt="Reviewed on agentmods" width="80" height="20"></a>

Per session 0 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.

When invoked 1,226 The whole file, excluding the scripts and references it only reads on demand.

Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.

Origin original No closer match found in the catalogue.

Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

Model	Per session	Once invoked
Fable 5.1	$0.00000	$0.01226
Opus 5	$0.00000	$0.00613
Sonnet 5	$0.00000	$0.00245
Haiku 4.5	$0.00000	$0.00123

Measured 12d ago against content hash b8609ec0152d, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

onco-spine scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 12d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

.claude/commands/onco-spine.md · 162 lines

How it starts

The opening of the file, as written. The whole thing — 162 lines — stays where its author put it; the contents beside it link to each section on GitHub.

/onco-spine - Oncologic Spine Assessment

Comprehensive assessment of metastatic spinal disease with SINS scoring.

Description

Detects metastatic lesions in the spine, calculates SINS (Spinal Instability Neoplastic Score), and provides treatment recommendations. Combines CT (required) and MRI (optional, improves accuracy) data.

Usage

/onco-spine                 # Full oncologic spine assessment
/onco-spine thoracic        # Focus on thoracic region

Instructions

When the user invokes this command:

1. Inventory available data

Call list_scene_nodes(). CT is required. MRI (T1 + T2/STIR) is optional but improves lesion characterization and benign/malignant differentiation.

If no CT is found:

Oncologic spine assessment requires CT data.
MRI is optional but recommended for improved lesion characterization.
Please load CT DICOM series first.

2. Segment spine

segment_spine(input_node_id=<ct_id>, region=<region_or_full>)

3. Detect metastatic lesions on CT

detect_metastatic_lesions_ct(
    volume_node_id=<ct_id>,
    segmentation_node_id=<seg_id>,
    include_posterior_elements=true,
    include_sins=true
)

4. MRI assessment (if available)

If MRI T1 and T2/STIR volumes are loaded:

detect_metastatic_lesions_mri(
    t1_volume_id=<t1_id>,
    t2_or_stir_volume_id=<t2_id>,
    segmentation_node_id=<seg_id>
)

MRI adds:

Better soft tissue characterization
Epidural disease assessment
Cord compression evaluation
Benign vs malignant fracture differentiation

5. SINS score calculation

For each level with detected lesions:

calculate_sins_score(
    volume_node_id=<ct_id>,
    segmentation_node_id=<seg_id>,
    target_levels=<affected_levels>
)

Note: SINS includes a clinical pain component (0-3 points). If not provided by the user, the tool reports the score range (minimum without pain, maximum with mechanical pain). Ask the user:

For complete SINS scoring, please provide:
- Does the patient have pain at the affected level(s)? (yes/no)
- If yes, is it mechanical (worse with movement) or non-mechanical?

Read the full file on GitHub · 162 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

12d ago First seen · 162 lines · 0 tokens per session scan A b8609ec0152d

Subscribe to this mod's changes

onco-spine is a command published in the GitHub repository zhangreling02-ai/3dslicer-claude-bridge (0 stars, last pushed 6mo ago), licensed MIT. It costs nothing until one of its globs matches a file; then it loads 1,226 tokens. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

Scientific

verify-math

Verify a self-authored mathematical result end to end by routing claims across adversarial review, numerical falsification, symbolic or CAS checks, and Lean, then aggregating one report. Use when a theorem, proposition, conjecture, or paper-wide mathematical argument needs the appropriate combination of verification…

flonat/flonat-research · 81 tokens

3dslicer-claude-bridge: Command for Claude Code