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Creation of a vascular system for organ manufacturing

            of a vascular network that can mimic the native coun-  (i) The part of the living tissue to be supplied with
            terparts [21,22] .  For example, Kaihara and Borenstein   blood by the vascular tree can be modeled as a convex
            used RP technology to generate a vascular system on   area (polygon for 2D and polyhedron for 3D) [27] .
            silicon and Pyrex surfaces [23] . Although this approach   (ii) The blood vessel can be regarded as a rigid cy-
            is useful in creating a layer of endothelial tissue, it has   lindrical tube (segment) with  a stable laminar blood
            not been successfully used to build a vascular network   flow.  From capillaries  (the root segments), the
            with multiple cell types.                          vascular tree successively bifurcates down to  the
               The design and manufacture of biocompatible     larger diameter level,  where the vascular tree is
            branched vascular systems is a key factor in successful   truncated in the form of terminal segment [28] .
            organ manufacturing. Besides providing nutrients and   (iii) Blood is supposed to  be a homogeneous in-
            excluding metabolites, branched systems also serve as   compressible Newtonian fluid and the hydrodynamic
            a 3D template for initial cell accommodation and sub-  resistance R j of each segment j is given by Poiseuille’s
            sequent tissue/organ regeneration [21–23] .  To  meet the   law [29] :
            metabolic needs of  nutrients,  oxygen  delivery,  and                    8η   l  j
            waste removal, transport by diffusion is no longer suf-             R =      π   r   4     (1)
                                                                                 j
            ficient; it  also  requires  a convective pathway,  i.e.,  a                  j
            vasculature, among the transplanted cells. Two ambi-  Where  l j  and  r j  represent the length and the internal
            tious approaches that aim to form a fully vascularised   radius of the segment   j.
            system with  multi-scale blood  vessels of sufficient   (iv) The radii of parent and two daughter segments
            size for implantation have been introduced. The vas-  at bifurcations (left and right) obey a power law (bi-
            cular systems are designed to be connected with  the   furcation law) [30,31]  of the form:
            patient’s own blood vessels during surgery [24] .                 r γ  =  r + r γ             (2)
                                                                                      γ
               In this perspective, we describe the two basic strat-           parent  left  right
            egies for producing a complex vascular system with a   Where p term denotes the pressure at the distal ends of
            predefined hierarchical architecture. Firstly, the hypo-  the terminal segments.
            thesis of the branching of a vessel tree, extracted from   (1) Optimized arterial trees around a hollow organ
            the literature including the law of diameter of the bi-  Using the above hypotheses and the algorithm of CCO,
            furcation segments and  the  relation between the  di-  various  vascular  tree models can  be created  with
            ameter and the branching angles, was introduced. An   different  bifurcation  angles and  segment  numbers
            algorithm,  constrained constructive  optimization   (Figure 1). For example, Schreiner et al. confined an
            (CCO) method, was used to produce a vascular tree [25] .   arterial tree model to some part of an elliptical shell,
            Secondly, a novel approach for engineering as vascu-  representing  the free wall of the left ventricle of the
            lature  in  vitro  has been developed.  The strategy  is   heart  (Figure  1(C)) [32] .  In this model, the coronary
            based  on RP  techniques  which  translate  the tissue’s   arteries supply the left ventricular wall and the spatial
            3D structure into 2D layers using computer modeling   information was utilized to regulate optimization. The
            to organize millions of cells into  a 3D structure [26] .   rules of the branching of the vessel tree were extracted
            Each  of the two  strategies  can  be used  to  create  a   accordingly, including the law of the diameter of the
            whole spectrum of vascular tissues, including arteries,   bifurcation segments and the relation between the di-
            arterioles, veins, venules, and capillaries.       ameter and the branching angles. In a living organ, the
                                                               information is usually obtained from the intercellular
            2. Constrained Constructive Optimization           signaling pathways.
            (CCO) Method                                         In our own group, we have developed an extension
                                                               to the computational method of the CCO for our 3DP
            2.1 The Basic Assumptions for Establishment of a   purposes. Within the framework of the CCO model, a
            Vascular Tree
                                                               model tree is represented as a series of dichotomously-
            The algorithm to generate a vessel tree automatically   branched, straight, cylindrical tubes. The tree is grown
            is a fractal and CCO method. To make the calculation   by  successively  adding  new  terminal  segments  from
            convenient,  Schreiner  et al.  have made a series of   randomly selected  points,  while optimizing  the geo-
            simplifications for generating a vascular tree based on   metric location  and the topological site of each new
            the following assumptions [27] .                   connection with respect to the minimum intra-vascular

            78                          International Journal of Bioprinting (2015)–Volume 1, Issue 1
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