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A fishbone diagram (also called Ishikawa diagram and cause-and-effect diagram) was originally developed by Kaoru Ishikawa to visualize the causes of a specific event. It is one of the seven basic Quality control tools, and has become commonly used to determine components needed for a desired outcome. The main issue is written in a box that is typically in the center of the right edge of the page. A line called the "spine" or "backbone" extends to the left starting from the edge of the main box. Branches angle off of the spine, each representing a cause or effect of the main issue. Each of these branches may contain additional branches.