A low-resource, rule-based cancer staging platform enabling automated AJCC (8th & 9th), Essential TNM, and SEER Summary Stage derivation for registries and clinical use.
# India-Can-Stage
**India-Can-Stage** is a low-resource oriented digital cancer staging platform developed to support standardized cancer staging for **hospital-based and population-based cancer registries** and to aid **clinical decision-making** in India and similar LMIC settings.
The tool implements **deterministic, rule-based staging logic** derived from **AJCC 8th and 9th edition guidelines** and enables automated derivation of multiple staging systems from structured clinical inputs.
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## Key Features
- **Supports 44 cancer sites** relevant to Indian cancer registries
- **Single data entry** generates staging outputs for both **AJCC 8th and 9th editions**
- Generates:
- **AJCC TNM**
- **AJCC Composite Stage Group**
- **Essential TNM (ETNM)**
- **SEER Summary Stage (SSS)**
- **Rule-based deterministic engine** ensuring reproducible and auditable results
- **Built-in validation** to prevent invalid or unrealistic TNM combinations
- Incorporates **AJCC-defined site-specific prognostic variables**, including:
- **Age** (thyroid cancer)
- **PSA** (prostate cancer)
- **Tumor grade** (appendix, prostate, bone)
- **Serum markers** such as **LDH, AFP, and hCG** (testicular cancer)
- Designed for **low-resource settings** with incomplete clinical documentation
- **Modular architecture** enabling easy updates for future AJCC revisions
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## System Architecture
- **Backend**: Python 3.12–based modular rule engine
- **Frontend**: Streamlit-based interactive interface
- **Logic Layer**: Site-specific AJCC rule matrices
- **Output**: Structured **JSON** for interoperability
The architecture ensures **transparency, traceability, and scalability**, enabling deployment across hospitals, registries, and academic institutions.
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## Web Application
A fully functional web deployment of **India-Can-Stage** is currently available.
**India-Can-Stage Web Application:**
Access the webversion here India-can-Stage. The production system is centrally hosted on secure **IC …