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Record W2048162410 · doi:10.1007/s11999-008-0339-8

New Approaches to Allograft Transplantation: Editorial Comment

2008· article· en· W2048162410 on OpenAlexaboutno aff
Hans Burchardt

Bibliographic record

VenueClinical Orthopaedics and Related Research · 2008
Typearticle
Languageen
FieldMedicine
TopicOrgan and Tissue Transplantation Research
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineTransplantationSurgery

Abstract

fetched live from OpenAlex

The Musculoskeletal Transplant Foundation Symposium, held in Vancouver, B.C. in October 2007, was the fifth invitational meeting since 1993. These Symposia have reflected the Foundation’s commitment to the science of allografts and bioconstructs. This 5th International Symposium celebrated the Foundation’s 20th year and recognized the founders’ dreams for a viable institution capable of furthering scientific advances in transplantation. Through the support of internal and external research, the ultimate goal has been to advance the medical treatment of patients. Dr. J. Buckwalter of the University of Iowa and Dr. M. Bolander of the Mayo Clinic were the architects and co-chairs for this international meeting. In addition to being members of the Musculoskeletal Transplant Foundation (MTF) Board of Directors, these individuals are well-known, both nationally and internationally, as advocates of scientific research. At the opening of the Symposium, Dr. William F. Enneking and Dr. V. Frankel were formally acknowledged as the two founding members of MTF who have provided key stewardship since its inception in 1987. Both Drs. Enneking and Frankel are recognized nationally and internationally as leaders in the fields of orthopaedics, education, and research. Their vision prompted the development of a peer-review grant program that encouraged young investigators to enter today’s competitive research environment. More than a grant program, this program also emphasized presentation and publication. Since 1993, the MTF grant program has awarded over $20 million for allograft and bioconstruct research to men and women representing more than 112 institutions. The five International Symposia are landmarks of this program. The 5th Symposium is of even greater importance since 32 of the 40 presentations were recipients of awards within the last seven years. The Symposium’s three sessions emphasized cartilage, soft tissue, and bone transplantation. The 40 presentations represented the work of researchers from Europe, South America, Canada, and the United States. Each session was characterized by the intermixture of basic science, tissue banking safety, or the technological improvements being explored with hard and soft tissue engineering. Twenty-three manuscripts were submitted for publication, with the 20 published here best representing the entire spectrum of the Symposium. The articles in CORR have been reordered from the original presentation to better group the topics of tissue transplantation. Thus, the reader will first encounter clinical work, such as the use of transplants in children, followed by research with autologous cartilage cell transplants in a synthetic matrix. New clinical information is also presented on the characteristics of graft failure in allografts, and the lack of immunogenic consequences to tissue transplants. The futuristic topics in tissue transplantation are of unusual interest to both professionals and the lay public. Three articles emphasize the modification of natural remodeling characteristics usually associated with transplants to enhance incorporation. Another focuses on interference with the first phase of cortical bone remodeling, namely resorption. The question remains: Does modifying the resorptive phase allow for normal incorporation and biomechanical properties of the transplants? The hard and soft tissue engineering field is the forerunner of change in today’s transplantation research. Therefore, the articles on growth factors, the use of stem cells, nano meshes and microspheres are of particular interest. This modern engineering includes newer technologies capable of assessing biological materials in vivo using a dynamic contrast-enhanced MRI to quantify vascularity, or the testing of transplant materials in an in vivo bioreactor. It seems we have an obligation to provide continuing support to evaluate transplants. Decisions must be made regarding their success in relation to the use of synthetics, which seem to emerge from many directions. It is possible the future of tissue transplants will demonstrate a greater merging with synthetics and pharmaceuticals, whereby transplants will act as carriers of future technologies. Undoubtedly, research in the next 5 decades will dazzle us even more than the scientific changes we have witnessed in the past 50 years. The most surprising advances will likely come from the direction that research takes unexpectedly by incorporating newer technologies. The recognition in the 60’s and 70’s that musculoskeletal tissue transplantation could be performed with relative immunological impunity led to tissue banking. The maturing of the newest experimental advances will lead to twists and turns not yet comprehended. I thank all of the investigators for their contributions to the Symposium. The publication process has become more detailed and exacting, and these changes reflect the greater expectations demanded from all of us to better serve the medical needs of the public. Finally, I want to express to all of you involved in the Symposium and the publication, my appreciation for your efforts and my gratitude for your dedicated support.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.238
Threshold uncertainty score0.788

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.383
GPT teacher head0.444
Teacher spread0.061 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2008
Admission routes1
Has abstractyes

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