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Casey Halpern, a professor of neurosurgery and head of the Division of Stereotactic and Functional Neurosurgery at Penn

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This system rated cartilage structural integrity from 0, defined as normal to 6, defined as complete disorganization, and assessed cellularity from 0, defined as normal, to 3, defined as hypocellularity, for a total possible score of 0 to 9