Mekhail 2005 Motzer extension
Mekhail 2005 Motzer extension: KPS <80, LDH >1.5x ULN, hemoglobin <LLN, corrected calcium >10 mg/dL, prior radiotherapy, >=2 metastatic sites; 1 point each, max 6. Favorable 0-1, intermediate 2, poor >=3. Not Motzer 1999 0 / 1-2 / >=3. Not Motzer 2002 time-to-treatment. Mekhail dropped no-prior-nephrectomy. Deterministic published score with citation; not an RCC diagnosis or treatment recommendation; not IMDC. magent does not assign KPS, assay LDH, hemoglobin, or calcium, or image metastases.
Paid test badge: not yet. The checks above are free: we call the tool without paying and read the payment request it sends back. The Verified badge needs paid calls whose answers match the promised output, and nobody can buy a badge.
Endpoint
POST https://api.magentlab.com/api/calc/mekhail
| Category | Image and media |
|---|---|
| Provider host | api.magentlab.com |
| Networks | eip155:8453 |
| Payment schemes | exact |
| Self-reported calls, 30 days | 0 from 0 payers (the provider's figure, not ours) |
Our checks, last 30 days
| Day | Result | HTTP | Asked | Time |
|---|---|---|---|---|
| 2026-09-28 | valid payment request | 402 | $0.007 | 449 ms |
Example input (from the provider)
{
"body": {
"items": [
{
"corrected_calcium_gt_10": false,
"hemoglobin_lt_lln": false,
"kps_lt_80": false,
"ldh_gt_1_5_uln": false,
"metastatic_sites_ge_2": false,
"prior_radiotherapy": false
},
{
"corrected_calcium_gt_10": false,
"hemoglobin_lt_lln": false,
"kps_lt_80": false,
"ldh_gt_1_5_uln": false,
"metastatic_sites_ge_2": false,
"prior_radiotherapy": false
}
]
},
"method": "POST",
"type": "http"
}
Promised output schema (from the provider)
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"properties": {
"input": {
"additionalProperties": false,
"properties": {
"body": {
"additionalProperties": false,
"properties": {
"items": {
"items": {
"properties": {
"corrected_calcium_gt_10": {
"description": "Corrected calcium >10 mg/dL as assigned by the caller (Mekhail 2005; Motzer 1999 paper threshold, not institutional ULN). true scores 1. magent does not assay calcium.",
"type": "boolean"
},
"hemoglobin_lt_lln": {
"description": "Hemoglobin below the institutional lower limit of normal as assigned by the caller (Mekhail 2005; Motzer 1999 factor that remained independent). true scores 1. magent does not assay hemoglobin or apply LLN.",
"type": "boolean"
},
"kps_lt_80": {
"description": "Karnofsky performance status <80% as assigned by the caller (Mekhail 2005; Motzer 1999 factor that remained independent). true scores 1. magent does not observe KPS.",
"type": "boolean"
},
"ldh_gt_1_5_uln": {
"description": "Serum LDH >1.5 \u00d7 institutional ULN as assigned by the caller (Mekhail 2005; Motzer 1999 factor that remained independent). true scores 1. magent does not assay LDH or apply ULN.",
"type": "boolean"
},
"metastatic_sites_ge_2": {
"description": "Two or more metastatic sites as assigned by the caller (Mekhail 2005: number of sites 0\u20131 vs 2\u20133 as surrogate for individual hepatic, lung, and retroperitoneal nodal sites). true scores 1. magent does not image metastases.",
"type": "boolean"
},
"prior_radiotherapy": {
"description": "Prior radiotherapy as assigned by the caller (Mekhail 2005). true scores 1. magent does not review radiotherapy history.",
"type": "boolean"
}
},
"required": [
"kps_lt_80",
"ldh_gt_1_5_uln",
"hemoglobin_lt_lln",
"corrected_calcium_gt_10",
"prior_radiotherapy",
"metastatic_sites_ge_2"
],
"type": "object"
},
"maxItems": 25,
"minItems": 1,
"type": "array"
}
},
"required": [
"items"
],
"type": "object"
},
"headers": {
"additionalProperties": {
"type": "string"
},
"type": "object"
},
"method": {
"const": "POST",
"type": "string"
},
"type": {
"const": "http",
"type": "string"
}
},
"required": [
"type",
"method"
],
"type": "object"
},
"output": {
"properties": {
"example": {
"type": "object"
},
"type": {
"type": "string"
}
},
"required": [
"type"
],
"type": "object"
}
},
"required": [
"input"
],
"type": "object"
}