Published July 13, 2025 | Version 5.1.0 (Cyclone)
Software Open

SPINA Carb

  • 1. Catholic Hospitals Bochum
  • 2. ROR icon Ruhr University Bochum
  • 3. ROR icon Klinik Blankenstein

Contributors

  • 1. Lee Kong Chian School of Medicine, Nanyang Technological University Singapore
  • 2. King's College London

Description

Structure parameter inference approach for endocrine feedback control

SPINA is software for determining constant structure parameters of endocrine feedback control systems from hormone levels obtained in vivo.

The first version of this cybernetic approach (SPINA Thyr, provided elsewhere) allows for evaluating the functional status of the thyroid gland, i.e. thyroid's secretory capacity (GT or SPINA-GT) and sum activity of peripheral deiodinases (GD or SPINA-GD). The software additionally provides means to calculate Jostel's TSH index (JTI) and the thyrotroph thyroid hormone sensitivity index (TTSI), two parameters for the assessment of the anterior pituitary function and the location of the set point of thyroid homeostasis.

A second version (SPINA Carb, this repository) has been developed for insulin-glucose homeostasis. It delivers the secretory capacity of pancreatic beta cells (SPINA-GBeta), an estimate for the insulin receptor gain (SPINA-GR) and a static disposition index as a measure for the loop gain of the feedback loop (SPINA-DI).

Both implementations of SPINA have been validated in clinical studies based on large cohorts.

Files

SPINA_Carb_V5_1_1_Handbook_and_Reference.pdf

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Additional details

Related works

Is part of
Software: http://spina.sf.net (URL)
Is supplement to
Journal article: 10.1038/s41598-022-22531-3 (DOI)
Journal article: 10.1111/1753-0407.13525 (DOI)

Funding

Deutsche Forschungsgemeinschaft
GRK 1041
Ruhr University Bochum
Open Access Publication Funds

Dates

Available
2025-07-13
Updated
2025-07-13

Software

Repository URL
https://svn.code.sf.net/p/spina/code/
Programming language
Pascal
Development Status
Active

References

  • Dietrich JW, Dasgupta R, Anoop S, Jebasingh F, Kurian ME, Inbakumari M, Boehm BO, Thomas N. SPINA Carb: a simple mathematical model supporting fast in-vivo estimation of insulin sensitivity and beta cell function. Sci Rep. 2022 Oct 21;12(1):17659. doi: 10.1038/s41598-022-22531-3. PMID: 36271244; PMCID: PMC9587026.
  • Dietrich JW, Abood A, Dasgupta R, Anoop S, Jebasingh FK, Spurgeon R, Thomas N, Boehm BO. A novel simple disposition index (SPINA-DI) from fasting insulin and glucose concentration as a robust measure of carbohydrate homeostasis. J Diabetes. 2024 Sep;16(9):e13525. doi: 10.1111/1753-0407.13525. Epub 2024 Jan 2. PMID: 38169110; PMCID: PMC11418405.