Evidence map›Paper›PMID 34337338›Full record

ArticleJOR spine2021

Development of a standardized histopathology scoring system using machine learning algorithms for intervertebral disc degeneration in the mouse model-An ORS spine section initiative.

Itzel Paola Melgoza, Srish S Chenna, Steven Tessier, Yejia Zhang, Simon Y Tang, Takashi Ohnishi, Emanuel José Novais, Geoffrey J Kerr, Sarthak Mohanty, Vivian Tam and 10 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 77 citations in OpenAlex.

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  19. Aging · 2025
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 5 countries.

Itzel Paola MelgozaOrthopedic Soft Tissue Research Program Hospital for Special Surgery New York City New York USA.
Srish S ChennaOrthopedic Soft Tissue Research Program Hospital for Special Surgery New York City New York USA.
Steven TessierDepartment of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University Philadelphia Pennsylvania USA.
Yejia ZhangUniversity of Pennsylvania Philadelphia Pennsylvania USA.
Simon Y TangDepartment of Orthopaedic Surgery Washington University in St Louis Missouri USA.ORCID https://orcid.org/0000-0002-5570-3921
Takashi OhnishiDepartment of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University Philadelphia Pennsylvania USA.
Emanuel José NovaisDepartment of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University Philadelphia Pennsylvania USA.
Geoffrey J KerrDepartment of Physiology & Pharmacology Bone & Joint Institute, University of Western Ontario London Ontario Canada.
Sarthak MohantyUniversity of Pennsylvania Philadelphia Pennsylvania USA.
Vivian TamSchool of Biomedical Sciences The University of Hong Kong Pokfulam Hong Kong.
Wilson C W ChanSchool of Biomedical Sciences The University of Hong Kong Pokfulam Hong Kong.
Chao-Ming ZhouDepartment of Orthopaedic Surgery University of Pittsburgh Pennsylvania USA.
Ying ZhangSchool of Biomedical Sciences The University of Hong Kong Pokfulam Hong Kong.
Victor Y LeungDepartment of Orthopaedics and Traumatology The University of Hong Kong Pokfulam Hong Kong.
Angela K BriceUniversity of Pennsylvania Philadelphia Pennsylvania USA.
Cheryle A SéguinDepartment of Physiology & Pharmacology Bone & Joint Institute, University of Western Ontario London Ontario Canada.
Danny ChanSchool of Biomedical Sciences The University of Hong Kong Pokfulam Hong Kong.
Nam VoDepartment of Orthopaedic Surgery University of Pittsburgh Pennsylvania USA.
Makarand V RisbudDepartment of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University Philadelphia Pennsylvania USA.
Chitra L DahiaOrthopedic Soft Tissue Research Program Hospital for Special Surgery New York City New York USA.ORCID https://orcid.org/0000-0003-3683-9791
Thomas Jefferson University · USUniversity of Pennsylvania · USHospital for Special Surgery · USUniversity of Hong Kong · HKUniversity of Hong Kong - Shenzhen Hospital · CNUniversity of Pittsburgh · USWestern University · CAWashington University in St. Louis · US

Funding

Role of HIF-1 in Intervertebral Disc FunctionR01AR055655 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI RISBUD, MAKARAND V · 2008 to 2023
$6.1M
Role of Shh/Brachyury axis in the maintenance of the postnatal intervertebral discR01AR077145 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI DAHIA, CHITRA L · 2021 to 2025
$3.0M
Disruption of Osmoregulation Promotes Degenerative Disc DiseaseR01AR064733 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI RISBUD, MAKARAND V, SHAPIRO, IRVING M · 2014 to 2018
$2.4M
Pathogenesis of Inflammation-driven Intervertebral Disc Herniation: The Role of Syndecan 4R01AR074813 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI RISBUD, MAKARAND V · 2019 to 2023
$2.3M
The role of physiologic and pathologic AGEs on RAGE signaling in IVD degenerationR01AR074441 · NIAMS · WASHINGTON UNIVERSITY · PI TANG, SIMON YUE-CHEONG · 2019 to 2024
$2.1M
A Wnt/Shh signaling loop controls intervertebral disc growth and differentiationR01AR065530 · NIAMS · HOSPITAL FOR SPECIAL SURGERY · PI DAHIA, CHITRA L · 2014 to 2018
$1.9M
Fluorescent StereomicroscopeS10OD026763 · OD · HOSPITAL FOR SPECIAL SURGERY · PI DAHIA, CHITRA L · 2019 to 2019
$60k
NIAMS NIH HHS R01 AR055655NIAMS NIH HHS R01 AR064733NIAMS NIH HHS R01 AR065530NIAMS NIH HHS R01 AR074441NIAMS NIH HHS R01 AR074813NIAMS NIH HHS R01 AR077145NIH HHS S10 OD026763
6 · The paper itself

Abstract

Mice have been increasingly used as preclinical model to elucidate mechanisms and test therapeutics for treating intervertebral disc degeneration (IDD). Several intervertebral disc (IVD) histological scoring systems have been proposed, but none exists that reliably quantitate mouse disc pathologies. Here, we report a new robust quantitative mouse IVD histopathological scoring system developed by building consensus from the spine community analyses of previous scoring systems and features noted on different mouse models of IDD. The new scoring system analyzes 14 key histopathological features from nucleus pulposus (NP), annulus fibrosus (AF), endplate (EP), and AF/NP/EP interface regions. Each feature is categorized and scored; hence, the weight for quantifying the disc histopathology is equally distributed and not driven by only a few features. We tested the new histopathological scoring criteria using images of lumbar and coccygeal discs from different IDD models of both sexes, including genetic, needle-punctured, static compressive models, and natural aging mice spanning neonatal to old age stages. Moreover, disc sections from common histological preparation techniques and stains including H&E, SafraninO/Fast green, and FAST were analyzed to enable better cross-study comparisons. Fleiss's multi-rater agreement test shows significant agreement by both experienced and novice multiple raters for all 14 features on several mouse models and sections prepared using various histological techniques. The sensitivity and specificity of the new scoring system was validated using artificial intelligence and supervised and unsupervised machine learning algorithms, including artificial neural networks,

Indexed as

agingdegenerationpre‐clinical modelsstructure‐function relationships

Identifiers

PMID34337338
PMCPMC8313179
OpenAlexW3184297834

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.