The MINDS breast cancer CDS tool is the first medical decision support application built using the MINDS framework. It is designed to provide an integrated set of analysis tools and decision aids for addressing key aspects of breast cancer prevention and care including risk assessment, screening and treatment care.
Breast cancer is one of the most prominent forms of cancer among women and has been the subject of extensive medical research over the past several decades. One of the primary areas of focus has been on breast cancer prevention through the expanding the use of risk assessment tools, improving screening recommendations, improving technologies used in mammography, and expanding genetic research into the causes of breast cancer.
The MINDS Breast Cancer CDS tool is designed to provide analysis tools and decision aids to support breast cancer preventative care. The current toolset includes features to support the following preventive analysis tools:
- Risk assessment
The primary benefits of the MINDS Breast Cancer CDS tool are summarized as follows:
First implementation of risk assessment and screening tools within a common software framework
Ability to plot multiple risk curves from different risk models simultaneously
Integrating risk assessment and screening functions for prevention and early detection support
You will need a password to access the download page and files. Please contact us if you would like to participate in the software evaluation.
Numerous risk assessment tools and models have been developed over the years that each seek to provide a method of predicting risk of developing breast cancer given certain characteristics. One of the challenges with the existing models is that most are developed using very different data sets, which presents statistical challenges in an attempt to replicate the model performance across the broader population. Another challenge is that each model attempts to assess risk based on different patient characteristics. There is some overlap, but most models do not utilize the exact same set of parameters to determine risk, nor the same methods. The MINDS breast cancer tool provides a starting point for addressing the disparities among risk models by providing a risk assessment engine that is capable of simultaneously generating risk curves from multiple models within a single integrated framework, which will allow researchers to more easily compare the performance of different models.
The current MINDS software supports risk calculations using the Gail model, the Claus model, and the Tyrer-Cuzick model, which can be shown individually or overlayed on a single graph. The tool calculates the absolute lifetime risk of a woman based on her current age and specific risk factors.
Screening tools are currently under development in the MINDS software and the objective is to incorporate the recommendations and best practices into an integrated software framework. Furthermore, the software tool will seek to provide better integration of the risk assessment models with screening practices and recommendations to provide a more complete breast cancer prevention and early detection tool.