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Research ArticleOpen Source Tools and Methods, Novel Tools and Methods

TST Score Helper: An Open-Source Graphical User Interface for Assisted Manual Scoring of the Tail Suspension Test

Sydney E. Triplett, Chenxing Li, Paul Sanz, Shasha Bai, Levi B. Wood and Erin M. Buckley
eNeuro 13 April 2026, 13 (4) ENEURO.0318-25.2026; https://doi.org/10.1523/ENEURO.0318-25.2026
Sydney E. Triplett
1The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia 30318
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  • ORCID record for Sydney E. Triplett
Chenxing Li
1The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia 30318
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Paul Sanz
2Departments of Chemistry, Emory University, Atlanta, Georgia 30322
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Shasha Bai
3Pediatrics, Emory University, Atlanta, Georgia 30322
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Levi B. Wood
1The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia 30318
4George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, Georgia 30318
5Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, Georgia 30318
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Erin M. Buckley
1The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, Georgia 30318
3Pediatrics, Emory University, Atlanta, Georgia 30322
6Children’s Healthcare of Atlanta, Children’s Research Scholar, Atlanta, Georgia 30329
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Figures

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  • Figure 1.
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    Figure 1.

    Flow chart depicting the process of using TST Score Helper GUI. After completing the 6 min tail suspension test, a recording of the trial is loaded into the TST Score Helper GUI. First, utilizing the TST Score Helper: Score mode, Scorer 1 and Scorer 2 independently score the trial and generate a scoring timeline of mobility/immobility time segments. Next, utilizing the TST Score Helper: Rescore mode, disagreements between the two scoring timelines are identified (red rectangles) and presented to Scorer 3, who rescores these periods of disagreement. The GUI then produces a final, multi-scorer vetted immobility timeline. Created in BioRender. https://BioRender.com/j39aj6l.

  • Figure 2.
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    Figure 2.

    Screenshots of the TST Score Helper GUI's (A) settings page and (B) rescore page.

  • Figure 3.
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    Figure 3.

    Comparison of scoring using the traditional manual stopwatch method versus the TST Score Helper GUI program in score mode. A, Relationship between immobility times (seconds) assessed by the two different methods on n = 71 TST trials. The dashed line denotes the line of unity. B, Bland–Altman plot of the scoring method agreement. The horizontal axis denotes the mean of the two immobility times, and the y-axis denotes the difference. The solid black horizontal line denotes y = 0. The solid red horizontal line represents the mean difference between the scorers, and the dotted red horizontal lines represent the limits of agreement, which are calculated as 1.96 × standard deviation of the mean difference between scores.

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    Figure 4.

    Interscorer reliability of tail suspension test (TST) immobility timing. A, Relationship between the immobility times (seconds) assessed by two independent scorers on n = 109 TST trials. The dashed line denotes the line of unity. B, Bland–Altman plot of the interscorer agreement. The horizontal axis denotes the mean between the two scorers’ immobility times and the y-axis denotes the difference. The solid black horizontal line denotes y = 0. The solid red horizontal line represents the mean difference between the scorers, y = 4.4. Dotted red horizontal lines represent the limits of agreement, y = −30.4 and y = 39.2, which are calculated as 1.96 × standard deviation of the mean difference between scorers.

  • Figure 5.
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    Figure 5.

    Disagreement between scorers on tail suspension test (TST). For all plots, data from two scorers on 109 TST trials evaluated with the TST Score Helper GUI in score mode were used. A, Histogram of disagreements, i.e., the total length of segments within a TST trial (in seconds) that one scorer assessed as immobile and the other scorer assessed as mobile. B, Histogram of the difference in total immobility time between two scorers. C, Histogram of the number of disagreement clips of duration indicated on the x-axis across trials. For each 5 s bin, the bar represents the mean number of disagreement clips in that length range across all trials, and the whiskers represent one standard deviation above the mean. D, Scatterplot of disagreements versus the difference in total immobility time between two scorers. The dashed line denotes the line of unity.

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    Figure 6.

    Example timeline produced with the TST Score Helper GUI rescore mode. Tf is the full immobility time and Tp is the partial immobility time, which only includes immobility time after the first 2 min. The red rectangles surround areas of scorer disagreement.

Movies

  • Figures
  • Extended Data
  • Movie 1.

    Example video of a TST trial. Example score results for this video are included in 7, 8 to try the rescore mode. [View online]

  • Movie 2.

    Example video of a TST trial. Example score results for this video are included in 9, 10 to try the rescore mode. [View online]

Extended Data

  • Figures
  • Movies
  • Data 1

    TSTScoreHelper MATLAB script. Download Data 1, ZIP file.

  • Data 2

    Standalone program installer for Windows. Download Data 2, ZIP file.

  • Data 3

    Standalone program installer for Mac. Download Data 3, ZIP file.

  • Data 4

    Template spreadsheet for score mode. Download Data 4, CSV file.

  • Data 5

    Template spreadsheet for rescore mode. Download Data 5, CSV file.

  • Data 6

    Detailed instructions for installation and use with examples. Download Data 6, DOCX file.

  • Data 7

    Example score result 1 for example video 1 (Movie 1). Download Data 7, CSV file.

  • Data 8

    Example score result 2 for example video 1 (Movie 1). Download Data 8, CSV file.

  • Data 9

    Example score result 1 for example video 2 (Movie 2). Download Data 9, CSV file.

  • Data 10

    Example score result 2 for example video 2 (Movie 2). Download Data 10, CSV file.

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TST Score Helper: An Open-Source Graphical User Interface for Assisted Manual Scoring of the Tail Suspension Test
Sydney E. Triplett, Chenxing Li, Paul Sanz, Shasha Bai, Levi B. Wood, Erin M. Buckley
eNeuro 13 April 2026, 13 (4) ENEURO.0318-25.2026; DOI: 10.1523/ENEURO.0318-25.2026

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TST Score Helper: An Open-Source Graphical User Interface for Assisted Manual Scoring of the Tail Suspension Test
Sydney E. Triplett, Chenxing Li, Paul Sanz, Shasha Bai, Levi B. Wood, Erin M. Buckley
eNeuro 13 April 2026, 13 (4) ENEURO.0318-25.2026; DOI: 10.1523/ENEURO.0318-25.2026
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Keywords

  • behavioral testing
  • GUI
  • MATLAB GUI
  • mouse
  • tail suspension test

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