A global bibliometric and visualized analysis in the status and trends of subchondral bone research

A scientometric analysis of bone cutting tools & methodologies: Mapping the research landscape

This study undertakes a Scientometric analysis of bone-cutting tools, investigating a corpus of 735 papers from the Scopus database between 1941 and 2023. It employs bibliometric methodologies such as keyword coupling, co-citation, and co-authorship analysis to map the intellectual landscape and collaborative networks within this research domain. The analysis highlights a growing interest and significant advancements in bone-cutting tools, focusing on their design, the materials used, and the cutting processes involved. It identifies key research fronts and trends, such as the emphasis on surgical precision, material innovation, and the optimization of tool performance. Further, the study reveals a broad collaboration among researchers from various disciplines, including engineering, materials science, and medical sciences, reflecting the field's interdisciplinary nature. Despite the progress, the analysis points out several gaps, notably in tool design optimization and the impact of materials on bone health. This comprehensive review not only charts the evolution of bone-cutting tool research but also calls attention to areas requiring further investigation, aiming to inspire future studies that address these identified gaps and enhance surgical outcomes.

Global cluster analysis and network visualization in organoids in cancer research: a scientometric mapping from 1991 to 2021

Objective

In the last three decades, there has been a surge in research on cancer organoids using 3D culture technologies, which has resulted in the development of physiological human cancer models. This study aims to provide an overview of the global trends and frontiers in research on cancer organoids.

Methods

A total of 3189 publications on organoids in cancer research from 1991 to 2021 were collected from the Science Citation Index-Expanded (SCIE) of Web of Science (WoS). Bibliometric methods such as the R package "Bibliometrix," Citespace, and VOS viewer software were employed to investigate and visualize bibliographic coupling, co-citation, co-authorship, and co-occurrence trends, as well as publication trends in the field of organoids in cancer research.

Results

From 1991 to 2021, there has been a significant increase in publications on cancer organoids, with most articles being from North America, Eastern Asia, and Western Europe. The USA had the highest number of publications, citations, prolific authors, and research funding globally. Cancers was the journal with the most publications, while Nature had the best total link strength. Harvard University were the most contributive institutions. The global research in this field could be classified into five clusters: chemotherapy study, organoids for drug screening, different models, molecular mechanism study, and organoid construction. These areas are expected to remain hotspots for future research.

Conclusions

The number of publications on organoids in cancer research is expected to increase based on current global trends.

'Ultrasound Examination' of the Musculoskeletal System: Bibliometric/Visualized Analyses on the Terminology (Change)

Ultrasound imaging of the musculoskeletal system is paramount for physicians of different specialties. In recent years, its use has become the extension of physical examinations like using a "magnifying glass". Likewise, the eventual concept has naturally and spontaneously evolved to a "fusion" of classical physical examination and static/dynamic ultrasound imaging of the musculoskeletal system. In this regard, we deem it important to explore the current use/awareness regarding 'ultrasound examination', and to better provide insight into understanding future research spots in this field. Accordingly, this study aimed to search the global/research status of 'ultrasound examination' of the musculoskeletal system based on bibliometric and visualized analysis.

Edible Insects Consumption in Africa towards Environmental Health and Sustainable Food Systems: A Bibliometric Study

Africa is home to an estimated wild edible insect population of 1000 species that offer an opportunity for sustainable food systems while also improving food and nutrition security on the continent. Edible insect consumption has been part of African communities for a long time and forms part of their diets and cuisines, particularly within low-income households with limited resources. The purpose of our study was to investigate and review the contribution that edible insects can make towards the realisation of sustainable food systems, and environmental/planetary health including the fulfilment of Sustainable Development Goal number 2 (zero hunger). Our study applied a bibliometric analysis approach using VOS Viewer, a data mining software. The study established that the consumption of edible insects is still widespread across many African countries and therefore can be used as an avenue for improving environmental health and enhancing food systems on the continent through a reduction in meat-based diets. This, in the long term, will also reduce the emission of greenhouse gases such as carbon dioxide and methane from livestock production-related activities. Edible insects are also known to contain a high percentage nutrient content of proteins, fats and iron and, thus, can also play a vital role in reducing food insecurity and malnutrition, particularly within low-income households. Due to the existence of a high number of edible insect species on the continent, communities in Africa can easily access sources that can further be preserved using various indigenous techniques while also having minimal impact on the environment. In addition, being a source of nutritious food, edible insects can also be a source of establishing sustainable livelihoods, as well as being able to be commercialised, thus further creating employment opportunities and economic growth. Some of the notable edible insects in abundance on the continent include termites, ants, crickets and caterpillars. Our study recommends that Africa should commercialise edible insect production, in addition to preservation processing that leads to the eradication of perennial food insecurity and malnutrition and improves environmental health, as well as developing sustainable food systems. We also further recommend the establishment of food safety guidelines on edible insects as most African countries do not have such a plan in place currently.

A comparison of 3 productive authors' research domains based on sources from articles, cited references and citing articles using social network analysis

BACKGROUND

An individual's research domain (RD) can be determined from objective publication data (e.g., medical subject headings and Medical Subject Headings (MeSH) terms) by performing social network analysis. Bibliographic coupling (such as cocitation) is a similarity metric that relies on citation analysis to determine the similarity in RD between 2 articles. This study compared RD consistency between articles as well as their cited references and citing articles (ARCs).

METHODS

A total of 1388 abstracts were downloaded from PubMed and authored by 3 productive authors. Based on the top 3 clusters in social network analysis, similarity in RD was observed by comparing their consistency using the major MeSH terms in author articles, cited references and citing articles (ARC). Impact beam plots with La indices were drawn and compared for each of the 3 authors.

RESULTS

Sung-Ho Jang (South Korea), Chia-Hung Kao (Taiwan), and Chin-Hsiao Tseng (Taiwan) published 445, 780, and 163 articles, respectively. Dr Jang's RD is physiology, and Dr Kao and Dr Tseng's RDs are epidemiology. We confirmed the consistency of the RD terms by comparing the major MeSH terms in the ARC. Their La indexes were 5, 5, and 6, where a higher value indicates more extraordinary research achievement.

CONCLUSION

RD consistency was confirmed by comparing the main MeSH terms in ARC. The 3 approaches of RD determination (based on author articles, the La index, and the impact beam plots) were recommended for bibliographical studies in the future.

Emerging trends and focus of giant cell tumor of bone research from 2001-2021: A visualization research

Giant cell tumor of bone is a highly invasive benign tumor with a high postoperative recurrence rate.

OBJECTIVE

This study aims to analyze the research hotspots and trends of global research on giant cell tumor of bone in the past 20 years, to provide a reference for relevant personnel in this field to carry out academic research.

METHODS

The literature related to giant cell tumor of bone from 2001 to 2021 was retrieved from the Web of Science. The bibliometrics research method and VOS Viewer were used to extract and analyze the keywords of the journal authors' research institutions, and the research status and development direction in the recent 20 years were visualized.

RESULTS

A total of 2063 articles were included. The number of global publications is increasing every year. The United States contributes the most to global research, with the most citations and the highest H-index. The journal Clinical Orthopaedics and Related Research published the most articles on this issue. "Denosumab" and "h3f3a" will get more attention and be the next popular hotspot in the future.

CONCLUSION

The study of giant cell tumor of bone is a hot spot of continuous development and has an important contribution to human health.

Research Status and Hotspots of Chronic Osteomyelitis: A Bibliometric and Visualized Analysis

OBJECTIVE

The treatment of chronic osteomyelitis (COM) is extremely challenging for physicians and patients. It is of great significance to explore the research status, development trend and future research hotspots in the field of COM to promote the development of this field. This study is aimed to explore the global research status of COM and predict its future research hotspots based on bibliometric and visualized analysis.

METHODS

Web of Science core collection database was used to search the related literature of COM from 1994 to 2020. All data were imported into Microsoft Excel 2019 for collation. Additionally, the literature quality of countries, authors, journals, and institutions is evaluated. The VOS viewer software was used for conducting co-analysis, co-citation analysis, and keyword co-occurrence analysis of literature to analyze the global status and predict the future hotspots of the COM field.

RESULTS

A total of 726 articles were retrieved in this study. The number of global publications shows a trend of wave growth, but the increase is not significant. It is expected that the number of COM articles will remain at more than 50 per year in the next decade. The COM literature published in the United States (Publications = 160, H index = 37, average citations per item = 28.63) is of the highest quality. Girschick HJ (Publications = 16, H index = 14, average citations per item = 52.25) is the most contributed scholar in the field of COM. UNIV IOWA (Publications = 15, H index = 11, average citations per item = 57.27) and UNIV WURZBURG (Publications = 18, H index = 15, average citations per item = 47.5) are influential institutions in the field of COM. The results of co-occurrence analysis show that the field of COM can be roughly divided into the following five modules: COM surgical research, COM basic research, COM diagnosis-related research, chronic recurrent multifocal osteomyelitis (CRMO)-related research, risk factors of COM. Risk factors of COM are the module with the highest concentration of hot words.

CONCLUSION

COM-related research will continue to develop further in the next decade. The diagnosis research and risk factors of COM are the most popular research modules in recent years. Some controversial or troubled issues including the efficacy of perforator flap and fascia flap covering soft tissue, searching exclusive detection methods for the diagnosis of COM and bisphosphonates and biological agents in the treatment of CRMO may lead to the development of the COM field.

Wireless Measurements Using Electrical Impedance Spectroscopy to Monitor Fracture Healing

There is an unmet need for improved, clinically relevant methods to longitudinally quantify bone healing during fracture care. Here we develop a smart bone plate to wirelessly monitor healing utilizing electrical impedance spectroscopy (EIS) to provide real-time data on tissue composition within the fracture callus. To validate our technology, we created a 1-mm rabbit tibial defect and fixed the bone with a standard veterinary plate modified with a custom-designed housing that included two impedance sensors capable of wireless transmission. Impedance magnitude and phase measurements were transmitted every 48 h for up to 10 weeks. Bone healing was assessed by X-ray, µCT, and histology. Our results indicated the sensors successfully incorporated into the fracture callus and did not impede repair. Electrical impedance, resistance, and reactance increased steadily from weeks 3 to 7-corresponding to the transition from hematoma to cartilage to bone within the fracture gap-then plateaued as the bone began to consolidate. These three electrical readings significantly correlated with traditional measurements of bone healing and successfully distinguished between union and not-healed fractures, with the strongest relationship found with impedance magnitude. These results suggest that our EIS smart bone plate can provide continuous and highly sensitive quantitative tissue measurements throughout the course of fracture healing to better guide personalized clinical care.

A Bibliometric Analysis of Research Trends in Biodegradation of Plastics

The rapid growth in the production and application of plastic globally has resulted in plastic pollution with a negative impact on the environment, especially the marine ecosystem. One main disadvantage in the majority of polymers is disposal after a useful life span. Non-degradable polymers create severe difficulty in plastic waste management that might end up in landfills or wash into the ocean. The biodegradation of plastic waste is one solution to this critical problem of pollution. Hence, there is a need to consider the advancement of research in this subject area, in pursuit of a way out of plastic pollution. Thus, this study was designed to map the biodegradation of plastic-related research from 2000 to 2021. Statistical information on the topic was recovered from the Web of Science Core Collection and analysed using the bibliometrix package in RStudio statistical software, while data visualisation was conducted via VOSviewer. Our evaluation indicated that the amount of research on the biodegradation of plastic increased over the last decade, and the annual growth rate of publication trends was 11.84%. The study revealed that 1131 authors wrote the 290 analysed documents, with a collaboration index of 4.04. Cooper DG (n = 11) was the most relevant author, McGill University (n = 21) was the most active university, and the Journal of Polymers and the Environment (n = 19) the leading journal. The outcome of this study can guide prospective research and offer vital information for improving the management of plastic waste.

Systematic mapping of DNAzymes research from 1995 to 2019

DNAzymes (catalytic DNA) have gained significant diagnostic and therapeutic applications with increasing research output over the years. Functional oligonucleotides are used as molecular recognition elements within biosensors for detection of analytes and viral infections such as SARS-CoV-2. DNAzymes are also applied for silencing and regulating cancer specific genes. However, there has not been any report on systematic analysis to track research status, reveal hotspots, and map knowledge in this field. Therefore, in the present study, research articles on DNAzymes from 1995 to 2019 were extracted from Web of Science (SCI-Expanded) after which, 1037 articles were imported into Rstudio (version 3.6.2) and analysed accordingly. The highest number of articles was published in 2019 (n = 138), while the least was in 1995 (n = 1). The articles were published across 216 journals by 2344 authors with 2337 multi-author and 7 single authors. The most prolific authors were Li Y (n = 47), Liu J (n = 46), Wang L (n = 33), Willner I (n = 33) and Zhang L (n = 33). The top three most productive countries were China (n = 2018), USA (n = 447) and Canada (n = 251). The most productive institutions were Hunan University, China (n = 141), University of Illinois, USA (n = 139) and Fuzhou University, China (n = 101). Despite the increasing interest in this field, international collaborations between institutions were very low which requires immediate attention to mitigate challenges such as limited funding, access to facilities, and existing knowledge gap.

A Systematic Review on Amaranthus-Related Research

Leafy vegetables promote reparation of energy loss due to oxidative stress, and they have the potential to alleviate hunger and malnutrition as well as other forms of metabolic imbalance ravaging the world. However, these vegetables are underutilized, despite the fact that they harbor essential minerals needed for critical cellular activities. As amaranth is one of the earliest vegetables reputed for its high nutraceutical and therapeutic value, in this study, we explored research on the Amaranthus species, and identified areas with knowledge gaps, to harness the various biological and economic potentials of the species. Relevant published documents on the plant were retrieved from the Science Citation Index Expanded accessed through the Web of Science from 2011 to 2020; while RStudio and VOSviewer were used for data analysis and visualization, respectively. Publications over the past decade (dominated by researchers from the USA, India, and China, with a collaboration index of 3.22) showed that Amaranthus research experienced steady growth. Findings from the study revealed the importance of the research and knowledge gaps in the underutilization of the vegetable. This could be helpful in identifying prominent researchers who can be supported by government funds, to address the malnutrition problem in developing countries throughout the world.

Bibliometric and Visualized Analysis of Tissue Engineering for Cartilage Repair and Regeneration Over the Past Decade

Background

Tremendous progress has been made in the field of cartilage repair and regeneration, particularly with tissue-engineering approaches. This study aims to estimate the global status and current trends in the field of cartilage tissue engineering.

Methods

Publications from 2011 to 2020 on tissue engineering for cartilage repair and regeneration were retrieved from Web of Science Core Collection database. The source data were statistically evaluated based on the bibliometrics. In terms of visualized analysis, some bibliometric indicators such as bibliographic coupling, co-citation, co-authorship and co-occurrence analysis were performed by VOSviewer software, to investigate the research trends in tissue engineering for cartilage repair and regeneration.

Results

In total, 3715 papers were included. Since 2011, the amount of issued papers and relative research interest (RRI) have grown by leaps and bounds globally. The United States was the biggest contributor to the research in this field, due to the greatest citation frequency, the highest H index and the strongest total link strength. Romania had the highest average citation for each. The journal Tissue Engineering Part A published most articles in this field. For institutions, the largest contributors were Shanghai Jiaotong University, University of California System and Sichuan University. Studies could all be grouped into four main clusters: study of biomaterial scaffolds, study of seeding cells and growth factors, experimental animal model and clinical study, and mechanism research.

Conclusion

Great efforts should be put into the study of biomaterial scaffolds, seeding cells and growth factors, considered to be the next hot topics in cartilage tissue engineering. This findings provide collaborative insights and research orientation for academic researchers, surgeons and healthcare practitioners to a certain extent.

Supplementary Information

The online version contains supplementary material available at 10.1007/s43465-021-00569-1.

Trends in the Use of Augmented Reality, Virtual Reality, and Mixed Reality in Surgical Research: a Global Bibliometric and Visualized Analysis

There have been many major developments in the use of augmented reality (AR), virtual reality (VR), and mixed reality (MR) technologies in the context of global surgical research, yet few reports on the trends in this field have been published to date. This study was therefore designed to explore these worldwide trends in this clinically important field. Relevant studies published from 1 January 2009 through 13 October 2020 were retrieved from the Science Citation Index-Expanded (SCI-E) tool of the Web of Science database. Bibliometric techniques were then used to analyze the resultant data, with visual bibliographic coupling, co-authorship, co-citation, co-occurrence, and publication trend analyses subsequently being conducted with GraphPad Prism 8 and with the visualization of similarities (VOS) software tool. There is no patient and public involved. In total, 6221 relevant studies were incorporated into this analysis. At a high level, clear global annual increases in the number of publications in this field were observed. The USA made the greatest contributions to this field over the studied period, with the highest H-index value, the most citations, and the greatest total link strength for analyzed publications. The country with the highest number of average citations per publication was Scotland. The Surgical Endoscopy And Other Interventional Techniques journal contributed the greatest number of publications in this field. The University of London was the institution that produced the greatest volume of research in this field. Overall, studies could be broadly classified into five clusters: Neurological Research, Surgical Techniques, Technological Products, Rehabilitative Medicine, and Clinical Therapy. The trends detected in the present analysis suggest that the number of global publications pertaining to the use of AR, VR, and MR techniques in surgical research is likely to increase in the coming years. Particular attention should be paid to emerging trends in related fields including MR, extended reality, head-mounted displays, navigation, and holographic images.

Trends in diabetes research outputs in South Africa over 30 years from 2010 to 2019: A bibliometric analysis

Diabetes mellitus (DM) is one of the leading causes of mortality in South Africa, which is impelled by people's consumption of unhealthy diets and lifestyles, negligence about an individual's health status, and increased urbanization. DM can be linked to several human diseases and thus, making it an important public health issue in the South African health sector. Therefore, it is necessary to assess the level of research that has been conducted in the country on diabetes, in a quest for solutions against the deadly disease. Hence, the present study aimed to map diabetes-related research in South Africa from 2010 to 2019. Data on the subject was retrieved from the Web of Science Core Collection (WoSCC) and bibliometrix package in Rstudio statistical software was used to analyze the data while VOSviewer was explored for data visualization networks. Our analysis revealed that the annual growth rate of publication trends was 23.2%. The authors per document were 23.3 with a collaboration index of 23.4. From the 416 articles analyzed, Islam MS (n = 34) was the most prolific author and the top active institution was University of KwaZulu-Natal (n = 165) and the top journal was Diabetes Research and Clinical Practice (n = 20). Findings from this study reveal that the quantity of research on diabetes has significantly increased over the decade, and the outcomes of this scientific progress can guide future research and substantially provide the basic needs for improving management procedures for diabetes in the country.

Radial extracorporeal shockwave promotes subchondral bone stem/progenitor cell self-renewal by activating YAP/TAZ and facilitates cartilage repair in vivo

BACKGROUND

Radial extracorporeal shockwave (r-ESW), an innovative and noninvasive technique, is gaining increasing attention in regenerative medicine due to its mechanobiological effects. Subchondral bone stem/progenitor cells (SCB-SPCs), originating from the pivotal zone of the osteochondral unit, have been shown to have multipotency and self-renewal properties. However, thus far, little information is available regarding the influences of r-ESW on the biological properties of SCB-SPCs and their therapeutic effects in tissue regeneration.

METHODS

SCB-SPCs were isolated from human knee plateau osteochondral specimens and treated with gradient doses of r-ESW in a suspension stimulation system. The optimized parameters for SCB-SPC self-renewal were screened out by colony-forming unit fibroblast assay (CFU-F). Then, the effects of r-ESW on the proliferation, apoptosis, and multipotency of SCB-SPCs were evaluated. Moreover, the repair efficiency of radial shockwave-preconditioned SCB-SPCs was evaluated in vivo via an osteochondral defect model. Potential mechanisms were explored by western blotting, confocal laser scanning, and high-throughput sequencing.

RESULTS

The CFU-F data indicate that r-ESW could augment the self-renewal of SCB-SPCs in a dose-dependent manner. The CCK-8 and flow cytometry results showed that the optimized shockwave markedly promoted SCB-SPC proliferation but had no significant influence on cell apoptosis. Radial shockwave exerted no significant influence on osteogenic capacity but strongly suppressed adipogenic ability in the current study. For chondrogenic potentiality, the treated SCB-SPCs were mildly enhanced, while the change was not significant. Importantly, the macroscopic scores and further histological analysis strongly demonstrated that the in vivo therapeutic effects of SCB-SPCs were markedly improved post r-ESW treatment. Further analysis showed that the cartilage-related markers collagen II and proteoglycan were expressed at higher levels compared to their counterpart group. Mechanistic studies suggested that r-ESW treatment strongly increased the expression of YAP and promoted YAP nuclear translocation in SCB-SPCs. More importantly, self-renewal was partially blocked by the YAP-specific inhibitor verteporfin. Moreover, the high-throughput sequencing data indicated that other self-renewal-associated pathways may also be involved in this process.

CONCLUSION

We found that r-ESW is capable of promoting the self-renewal of SCB-SPCs in vitro by targeting YAP activity and strengthening its repair efficiency in vivo, indicating promising application prospects.

Mitochondria: Potential Targets for Osteoarthritis

Osteoarthritis (OA) is a common and disabling joint disorder that is mainly characterized by cartilage degeneration and narrow joint spaces. The role of mitochondrial dysfunction in promoting the development of OA has gained much attention. Targeting endogenous molecules to improve mitochondrial function is a potential treatment for OA. Moreover, research on exogenous drugs to improve mitochondrial function in OA based on endogenous molecular targets has been accomplished. In addition, stem cells and exosomes have been deeply researched in the context of cartilage regeneration, and these factors both reverse mitochondrial dysfunctions. Thus, we hypothesize that biomedical approaches will be applied to the treatment of OA. Furthermore, we have summarized the global status of mitochondria and osteoarthritis research in the past two decades, which will contribute to the research field and the development of novel treatment strategies for OA.