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International Journal of Bioprinting                                       PAI for 3D bioprinted constructs




            laser  excitation. 36–38   PAI  resolves  optical  contrasts  from   Additionally, we address practical considerations that
            the emitted acoustic signal, 39–42  which experiences less   should be factored in for more complete integration of PAI
            diffraction compared to optical rays in the tissue. 43–46  In   into the fields of 3D bioprinting, with our anticipation of
            addition to the imaging exogenous contrast of a printed   an increasingly exclusive role for PAI as bioprinting evolves
            artificial construct, PAI is also capable of delineating   towards more complex hierarchies.
            endogenous chromophore distribution within the tissue,
            such as melanin, hemoglobin, fat, and collagen, unlike   2. Unveiling physiological landscapes of
            conventional optical imaging methods that require   tissue via PAI
            destructive processes such as tissue slicing, fixation,
            staining, and fluorescent labeling.                2.1. Flexible tissue contrast of PAI with a variable
                                                               light source
               One important feature of PAI is that its spatial   The core objective of bioprinting is to fabricate
            resolution and imaging depth can be scaled by varying   microarchitectures that can initiate cell growth and
            the hardware configuration, ranging from sub-      facilitate sufficient maturation to drive clusters of cells
            micrometer to millimeter scales.  The spatial resolution   towards functional tissue differentiation. Within this
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            of PAI is determined by the size of either the optical   context, bioimaging plays a crucial role in monitoring
            excitation beam or the receiving acoustic beam. This   the physiological changes occurring within bioprinted
            principle primarily classifies PAI techniques into optical   constructs, encompassing vital processes such as cell
            resolution photoacoustic imaging (OR-PAI) and acoustic   proliferation, angiogenesis, and intra- or inter-cellular
            resolution photoacoustic imaging (AR-PAI). Due to   metabolic dynamics. Cell proliferation serves as a crucial
            the proportionality between the diffraction limit and   indicator of the viability of printed biomaterials, both in
            the wavelength, optical beams (beam size <1 μm) can   vitro and in vivo, and is determined from changes in the
            be more tightly focused than acoustic beams (beam   cell population. The observation of angiogenesis enables
            size >50 μm). 47–50  Conversely, acoustic waves suffer less   the assessment of biocompatibility after the  in vivo
            attenuation with less absorption or scattering than optical   implantation of printed biomaterials. It can also indicate the
            rays, allowing AR-PAI (1–80 mm) to achieve greater   formation of microvascular resulting from enhanced tissue
            imaging depths than OR-PAI (<1 mm). 51–60  Given the   regeneration,  particularly  in  functional  3D  bioprinting
            need to strike a compromise between imaging resolution   applications. Finally, bioimaging facilitates the observation
            and depth, the PAI technique should be chosen based on   of functional maturation and differentiation into complete
            its key utility in 3D bioprinting. For example, OR-PAI is   tissues, enabling the visualization of metabolic changes at
            essential for microscopic cellular-level examinations, such   the organelle or tissue level.
            as tracking cellular growth or functional maturation in   Given the uniqueness of the optical absorption
            vitro. In contrast, AR-PAI is more suitable for mesoscopic   spectrum of chromophores, PAI excels in specifying
            or macroscopic investigations at the tissue or organ level,   cellular organelles or tissue constituents of interest by
            such as longitudinal monitoring of implanted or engrafted   modulating the wavelength of the light source (Figure 2).
            3D constructs  in vivo. Overall, the ability to discover   Ultraviolet-photoacoustic  imaging  (UV-PAI) allows for
            voluminous and complex biological structures without   the visualization of cell nuclei populations via the high
            destruction is invaluable in the field of 3D bioprinting,   absorption of nucleic acids, such as ribonucleic acid (RNA)
            where precise evaluation of tissue architecture and   and deoxyribonucleic acid (DNA) under UV irradiation,
            functionality is paramount.
                                                               facilitating the identification of cell proliferation. Second,
               In this comprehensive review, we introduce PAI as   blood vessels can be imaged using visible or near-infrared-
            a novel optical imaging technique that provides optical   photoacoustic imaging (VIS/NIR–PAI), leveraging the
            contrast to an unprecedented depth, capable of visualizing   strong absorption properties of hemoglobin within red
            both the morphological and physiological features of   blood cells (RBCs). VIS light source, typically a 532 nm
            3D-bioprinted constructs. The versatility of PAI across   green diode laser, is predominantly used for microscopic
            different  spectral  ranges  is  demonstrated,  presenting   imaging of superficial structures. On the other hand, NIR
            various spectral contrasts from tissues spanning the   light, often referred to as the “optical window,” encounters
            ultraviolet (UV), visible (VIS), near-infrared (NIR), and   less absorption and scattering by biological tissues, allowing
            mid-infrared (MIR) regions. We further summarize   for deeper tissue imaging. Finally, proteins and lipids in
            the collaborative bioprinting research to date, which   the protoplasm are strongly absorbed in the MIR range
            functionally implements PAI for obtaining the architectural   (greater than 1500 nm), as detectable by mid-infrared
            information of bioprinted constructs and their noninvasive   photoacoustic imaging (MIR-PAI). In this section, we
            longitudinal monitoring post-implantation  in vivo.   introduce PAI techniques categorized by their wavelengths,

            Volume 10 Issue 4 (2024)                        3                                 doi: 10.36922/ijb.3448
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