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International Journal of Bioprinting                                       PAI for 3D bioprinted constructs










































            Figure 4. Label-free intraoperative ultraviolet-photoacoustic imaging (UV-PAI) replaces the conventional histological process. (a) PA histopathology of a
            whole tissue block from liver cancer patients, including histoarchitectural features from noncancerous (a1), boundary (a2), and cancerous regions (a3). (b)
            Intraoperative classification of diagnostic features from PA images between noncancerous and cancerous regions using a support vector machines (SVM)
            model. (c) Comparison between receiver operating characteristic (ROC) curve analyses for liver cancer prediction between PA and H&E histology. The
            images are reproduced with permission from. 64


            the focal plane, as in 2D raster scanning. Moreover, virtual   maintain a tight beam size over an extended depth range.
            histology using the CycleGAN DL network architecture   Hence, UV needle-beam PAM (UV-NB-PAM) can
            was applied to label-free PA images to align them with   maintain a consistent lateral resolution and effectively
            a conventional histologic appearance. The generated   resolve off-focus targets, unlike the hazy appearance
            virtually stained PA image exhibited histological features   observed in UV Gaussian-beam PAM (UV-GB-PAM), with
            crucial for pathological examination, corresponding to   a shorter depth of field. The advantages of UV-NB-PAM
            the H&E images. Indeed, attempts to replace conventional   are highlighted in the imaging of fresh organs with non-
            histological processes with the virtual staining of UV-PAM   flattened surfaces. For instance, the UV-GB-PAM image
            images have sparked significant clinical interest, leading to   of a mouse lung displayed blurred cell nuclei along with a
            various subsequent studies. 65,67                  locally intense contrast, suggesting fractional regions lying
               Efforts  have  been  directed  towards  utilizing  UV-  within a narrow optical focal plane. In contrast, the UV-
            PAI for imaging unprocessed biological specimens or   NB-PAM images revealed unidentified lung features and
            live tissues, prompting technical innovations aimed at   homogeneous contrasts among the clusters of cell nuclei.
            extending imaging depth to visualize cell nuclei at greater   Kim et al. effectively enhanced the resolution of UV-
            depths. Cao et al. observed limitations in the image   PAM images by employing a transparent ultrasonic
            resolution of conventional optical-resolution PAM owing   transducer (TUT).  In conventional settings, the opaque
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            to the tight focusing of optical beams, which resulted in an   nature of the ultrasonic  transducer necessitates the use
            uneven resolution with depth and challenges in imaging   of a dedicated hardware called an opto-ultrasound beam
            uneven surfaces or conducting 3D volume scanning.  As   combiner (OUC) to align the optical and acoustic beams,
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            a solution, they developed a needle-beam PAM employing   which requires both optical and acoustic path lengths
            modified optics  with  diffractive optical  elements to   (Figure 5a). However, the direct coaxial alignment of the


            Volume 10 Issue 4 (2024)                        6                                 doi: 10.36922/ijb.3448
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