ceddcozum 0.3.0 → 0.3.1

package/dist/index.js

@@ -14337,7 +14337,8 @@ function calculateSyndromeSpecificSDSByDataset(value, age, sex, datasetId, measu
 
 // ../src/lib/calculators/unified-sds.ts
 function calculateLMSBasedSDS(value, L, M, S, applySD23 = false) {
-  if (value <= 0 || M <= 0 || S <= 0) return 0;
+  if (!Number.isFinite(value) || !Number.isFinite(M) || !Number.isFinite(S)) return NaN;
+  if (value <= 0 || M <= 0 || S <= 0) return NaN;
   let sds;
   if (Math.abs(L) < 1e-7) {
     sds = Math.log(value / M) / S;
@@ -14351,7 +14352,8 @@ function calculateLMSBasedSDS(value, L, M, S, applySD23 = false) {
   return sds;
 }
 function calculateMeanSDBasedSDS(value, mean, sd) {
-  if (sd <= 0) return 0;
+  if (!Number.isFinite(value) || !Number.isFinite(mean) || !Number.isFinite(sd)) return NaN;
+  if (sd <= 0) return NaN;
   return (value - mean) / sd;
 }
 function applySD23Correction(sds, L, M, S) {
@@ -14391,6 +14393,7 @@ function calculateValueForSDS(sds, L, M, S) {
   }
 }
 function sdsToPercentile(sds) {
+  if (Number.isNaN(sds)) return NaN;
   const minSDS = PERCENTILE_SDS_LOOKUP[0].sds;
   const maxSDS = PERCENTILE_SDS_LOOKUP[PERCENTILE_SDS_LOOKUP.length - 1].sds;
   if (sds < minSDS) {
@@ -17365,26 +17368,45 @@ function findCorrectedBmdBand(sex, age) {
 }
 
 // ../src/lib/calculators/corrected-bmd.ts
-function calculateKatzmanX(bmc, area) {
-  if (area <= 0) return 0;
-  return bmc / Math.pow(area, 1.5);
+var CORRECTED_BMD_SITES_WITH_REFERENCE = ["spine"];
+function siteHasReference(site) {
+  return CORRECTED_BMD_SITES_WITH_REFERENCE.includes(site);
+}
+function calculateKatzmanX(bmc, area, site = "spine", heightCm) {
+  if (!Number.isFinite(bmc) || !Number.isFinite(area) || bmc <= 0 || area <= 0) return NaN;
+  switch (site) {
+    case "spine":
+      return bmc / Math.pow(area, 1.5);
+    case "radiusNeck":
+      return bmc / Math.pow(area, 2);
+    case "wholeBody":
+      if (!Number.isFinite(heightCm) || heightCm <= 0) return NaN;
+      return bmc * heightCm / Math.pow(area, 2);
+  }
 }
 function calculateCorrectedBmdSds(input) {
-  const { bmc, area, age, sex } = input;
-  if (bmc <= 0 || area <= 0) {
-    return null;
+  const { bmc, area, age, sex, site = "spine", heightCm } = input;
+  const xValue = calculateKatzmanX(bmc, area, site, heightCm);
+  if (!Number.isFinite(xValue)) return null;
+  if (!siteHasReference(site)) {
+    return {
+      xValue,
+      site,
+      sds: null,
+      percentile: null,
+      referenceMedian: null,
+      referenceSd: null,
+      ageBandRange: ""
+    };
   }
   const band = findCorrectedBmdBand(sex, age);
-  if (!band) {
-    return null;
-  }
-  const xValue = calculateKatzmanX(bmc, area);
+  if (!band) return null;
   const sds = calculateMeanSDBasedSDS(xValue, band.median, band.sd);
-  const percentile = sdsToPercentile(sds);
   return {
     xValue,
-    sds,
-    percentile,
+    site,
+    sds: Number.isFinite(sds) ? sds : null,
+    percentile: Number.isFinite(sds) ? sdsToPercentile(sds) : null,
     referenceMedian: band.median,
     referenceSd: band.sd,
     ageBandRange: `${band.start}\u2013${band.end}`
@@ -24896,26 +24918,6 @@ function findPercentileAndSDS(measuredBP, percentileCurve) {
     sdsDisplay: sds.toFixed(2)
   };
 }
-function classifyBP(age, measured, percentile, p95, type) {
-  if (age >= 13) {
-    if (type === "systolic") {
-      if (measured < 120) return "normal";
-      if (measured < 130) return "elevated";
-      if (measured < 140) return "stage1";
-      return "stage2";
-    } else {
-      if (measured < 80) return "normal";
-      if (measured < 80) return "elevated";
-      if (measured < 90) return "stage1";
-      return "stage2";
-    }
-  } else {
-    if (percentile < 90) return "normal";
-    if (percentile < 95 || measured < 120) return "elevated";
-    if (measured < p95 + 12 || type === "systolic" && measured < 140 || type === "diastolic" && measured < 90) return "stage1";
-    return "stage2";
-  }
-}
 function calculateRosner2008BP(sex, ageYears, heightCm, systolicMeasured, diastolicMeasured) {
   if (!(ageYears > 0) || !(heightCm > 0)) return null;
   if (ageYears > 17) return null;
@@ -24960,13 +24962,6 @@ function calculateRosner2008BP(sex, ageYears, heightCm, systolicMeasured, diasto
   const diastolic75 = dbpCurve.find((p) => p.percentile === 75)?.bp || 73;
   const diastolic90 = dbpCurve.find((p) => p.percentile === 90)?.bp || 76;
   const diastolic95 = dbpCurve.find((p) => p.percentile === 95)?.bp || 80;
-  const systolicCategory = classifyBP(ageYears, systolicMeasured, systolicResult.percentile, systolic95, "systolic");
-  const diastolicCategory = classifyBP(ageYears, diastolicMeasured, diastolicResult.percentile, diastolic95, "diastolic");
-  const categoryOrder = ["normal", "elevated", "stage1", "stage2"];
-  const overallCategory = categoryOrder[Math.max(
-    categoryOrder.indexOf(systolicCategory),
-    categoryOrder.indexOf(diastolicCategory)
-  )];
   return {
     systolic: {
       measured: Math.floor(systolicMeasured),
@@ -24981,9 +24976,8 @@ function calculateRosner2008BP(sex, ageYears, heightCm, systolicMeasured, diasto
       p75: Math.floor(systolic75),
       p90: Math.floor(systolic90),
       p95: Math.floor(systolic95),
-      p95Plus12: Math.floor(systolic95) + 12,
+      p95Plus12: Math.floor(systolic95) + 12
       // Floor p95 first, then add 12
-      category: systolicCategory
     },
     diastolic: {
       measured: Math.floor(diastolicMeasured),
@@ -24998,11 +24992,9 @@ function calculateRosner2008BP(sex, ageYears, heightCm, systolicMeasured, diasto
       p75: Math.floor(diastolic75),
       p90: Math.floor(diastolic90),
       p95: Math.floor(diastolic95),
-      p95Plus12: Math.floor(diastolic95) + 12,
+      p95Plus12: Math.floor(diastolic95) + 12
       // Floor p95 first, then add 12
-      category: diastolicCategory
     },
-    overallCategory,
     modelDetails: {
       ageHeightInteraction,
       heightSpline,
@@ -27882,28 +27874,13 @@ function executeBloodPressure(args) {
   const diastolic = Number(args.diastolic);
   const result = calculateRosner2008BP(sex, ageYears, heightCm, systolic, diastolic);
   if (!result) return [{ label: "Error", value: "Could not calculate BP percentiles. Age must be 1-18 years.", severity: "severe" }];
-  const categoryLabel = (cat) => {
-    switch (cat) {
-      case "normal":
-        return "Normal";
-      case "elevated":
-        return "Elevated";
-      case "stage1":
-        return "Stage 1 HTN";
-      case "stage2":
-        return "Stage 2 HTN";
-      default:
-        return cat;
-    }
-  };
   return [
     patientRow({ age: ageYears, sex }),
     { label: "Height", value: heightCm.toFixed(1), unit: "cm" },
     { label: "Systolic", value: `${systolic} mmHg \u2014 ${result.systolic.percentileDisplay}p (SDS ${result.systolic.sdsDisplay})` },
     { label: "SBP Thresholds", value: `P50: ${result.systolic.p50} | P90: ${result.systolic.p90} | P95: ${result.systolic.p95} | P95+12: ${result.systolic.p95Plus12}` },
     { label: "Diastolic", value: `${diastolic} mmHg \u2014 ${result.diastolic.percentileDisplay}p (SDS ${result.diastolic.sdsDisplay})` },
-    { label: "DBP Thresholds", value: `P50: ${result.diastolic.p50} | P90: ${result.diastolic.p90} | P95: ${result.diastolic.p95} | P95+12: ${result.diastolic.p95Plus12}` },
-    { label: "Classification", value: categoryLabel(result.overallCategory) }
+    { label: "DBP Thresholds", value: `P50: ${result.diastolic.p50} | P90: ${result.diastolic.p90} | P95: ${result.diastolic.p95} | P95+12: ${result.diastolic.p95Plus12}` }
   ];
 }
 function executeABPM(args) {
@@ -29703,13 +29680,21 @@ var visibleToolsMetadata = [
     "type": "calcs",
     "titleKey": "tools.corrected-bmd.title",
     "subtitleKey": "tools.corrected-bmd.subtitle",
-    "titleFallback": "Corrected vBMD",
-    "subtitleFallback": "Volumetric BMD correction using Katzman formula",
+    "titleFallback": "Corrected Volumetric BMD",
+    "subtitleFallback": "Lumbar spine (L1\u2013L4) volumetric BMD correction, Katzman formula",
     "searchKeywords": [
       "Katzman",
+      "Carter",
       "vBMD",
       "volumetrik",
       "volumetric",
+      "vol\xFCmetrik",
+      "BMAD",
+      "L1-L4",
+      "lomber",
+      "lumbar",
+      "spine",
+      "omurga",
       "kemik boyutu",
       "bone size"
     ]
@@ -30209,7 +30194,7 @@ var cyan2 = (s) => useColor2 ? `\x1B[36m${s}\x1B[0m` : s;
 var green = (s) => useColor2 ? `\x1B[32m${s}\x1B[0m` : s;
 var yellow2 = (s) => useColor2 ? `\x1B[33m${s}\x1B[0m` : s;
 var magenta = (s) => useColor2 ? `\x1B[35m${s}\x1B[0m` : s;
-var VERSION = true ? "0.3.0" : "0.0.0-dev";
+var VERSION = true ? "0.3.1" : "0.0.0-dev";
 var BIN = process.argv[1]?.replace(/.*[\\/]/, "").replace(/\.\w+$/, "") === "childmetrics" ? "childmetrics" : "childmetrics";
 var visibleSchemas = visibleToolSchemas;
 function findMeta(schemaId) {

package/package.json

@@ -1,6 +1,6 @@
 {
   "name": "ceddcozum",
-  "version": "0.3.0",
+  "version": "0.3.1",
   "description": "ÇEDD Çözüm pediatric clinical calculators - CLI interface",
   "license": "Apache-2.0",
   "author": "ÇEDD / TSPED",