The shoot as an attribute acted as a reminder of the prophecy, see also the tradition, apparently older, of the Golden Rose given by the Pope.Indeed, the Tree was always far more common in Northern Europe, where it may have originated, than Italy.
Between them, these groups were responsible for much of the patronage of the arts.
During the Medieval era the symbol of the tree as an expression of lineage was adopted by the nobility and has passed into common usage initially in the form of the family tree and later as a mode of expressing any line of descent.
In particular, it is the subject of many stained glass windows and illuminated manuscripts.
It is also found in wall paintings, architectural carvings, funerary monuments, floor tiles and embroidery.
The earliest example dates from the 11th century and in an illuminated manuscript.
There are many examples in Medieval psalters, because of the relation to King David, son of Jesse, and writer of the Psalms.
Generally only a few of the most well known individuals, like Kings David and Solomon, are represented on Jesse Trees, rather than an attempt to display the entire lineage.
The first representations of the passage in Isaiah, from about 1000 AD in the West, show a "shoot" in the form of a straight stem or a flowering branch held in the hand most often by the Virgin, or by Jesus when held by Mary, by the prophet Isaiah or by an ancestor figure.
The form is widely used as a table in such disciplines as biology.