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International Journal of Bioprinting                                       PAI for 3D bioprinted constructs




            3. Applications of PAI in 3D bioprinting           to study the formation of thrombosis using PAI.  They
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                                                               used digital light processing (DLP)-based 3D printing to
            One primary challenge in 3D bioprinting is creating   create intricate patterns of internal microchannels in
            complex anatomical structures that exhibit both    blood  vessel  structures,  including  straight,  serpentine,
            physiological responses and behaviors. The application   and dodecahedron  patterns. To  produce  more  complex
            of PAI in 3D bioprinting depends on the intended use of   structures, DLP printing relies on photoabsorbers with
            the printed structure and can be broadly categorized into   strong optical absorption, which limit the penetration of
            in vitro and in vivo applications. In vitro imaging employs   ballistic photons. Dodecahedron-patterned microchannels
            PAI to assess the mechanical characteristics of bioprintable   were found to be particularly complex and could not
            materials without damaging them. In addition, it creates   be imaged using conventional optical microscopy. In
            imaging phantoms specifically designed to evaluate,   comparison, PAM can access the entire volume of the
            analyze, and optimize the performance of imaging devices.   dodecahedron-patterned microchannels, providing a
            This approach is aimed at enhancing the acquisition   clear depiction of their complex volumetric structures.
            of accurate medical images and improves patient care   By using OR-PAM and acoustic-resolution photoacoustic
            by replicating the imaging properties of living tissues.   microscopy (AR-PAM) systems, the authors imaged
            In contrast,  in vivo imaging utilizes PAI to assess how   3D-printed blood vessels and conducted thrombosis
            implanted materials affect the body  in vivo, such as by   studies. Blood clots exhibited low oxygenation due to
            observing the degradation of biodegradable materials or   the ineffective exchange of oxygen with the surrounding
            monitoring angiogenesis around implanted materials.
                                                               medium  during  clot formation. Multi-wavelength
            3.1. In vitro imaging of 3D-printed objects        measurements using two wavelengths, 532 and 590
            The mechanical properties and structural stability of   nm, allowed the PAM to quantify the sO  level of total
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            bioprintable materials can be evaluated using PAI. Zhao et   hemoglobin, with the images showcasing that blood clots
            al. devised a technique leveraging PAI to characterize gelatin   possessed much lower oxygenation levels than normal
            methacryloyl (GelMA) hydrogels.  This noninvasive   blood. This suggests the possibility of effectively monitoring
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            method is important because the porous structure of   thrombosis using PAI. This study demonstrated that PAM
            hydrogels affects their mechanical properties and nutrient   is a practical tool for imaging the structure and function of
            delivery. The proposed technique utilizes a transmission-  3D-printed blood vessels.
            mode PAI system that relies on the optical contrast, deep   Although the use of RBCs is a common approach in
            penetration, and noninvasiveness of the PAI technology.   PAI for assessing the functional properties of constructs,
            The experimental results showed that mixing RBCs with a   alternative mediators can be employed to monitor these
            high PA contrast into the GelMA hydrogel results in certain   properties. Yim et al. fabricated synthetic skin tissue that
            areas exhibited a higher PA signal than the surrounding   resembled human skin, and used PAI to investigate the
            areas, which was attributed to the RBCs occupying the   influence of skin phototype on biomedical optics.  Skin
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            pores in GelMA. By excluding the background signal   phototype varies among individuals and depends on the
            from the unmixed GelMA, the team concluded that the   concentration of melanosomes, which are cellular organelles
            pore distribution could be approximated by the locations   that produce melanin pigments. Higher concentrations
            occupied  by  the  RBCs.  During  3D  biofabrication,  cells   of melanosomes lead to darker skin phototypes because
            require a sufficient nutrient environment, which depends   melanin attenuates the incident light, hindering signal
            on the diffusivity of the nutrients in the hydrogel and   transmission. To mitigate the effects of skin phototype
            connectivity of the pores in the hydrogel. They analyzed   variations, Yim et al. developed an enhanced phantom that
            the interconnectivity of the pores through RBC lysis. By   mimics the skin by creating synthetic melanin. It achieves
            soaking the hydrogel in an RBC lysis buffer, researchers   this by using polydopamine (PDA) and incorporating it into
            could remove RBCs sequentially over time, and the   an existing phantom lacking real melanosomes and having
            reduction in the PA signal caused by RBCs was used to   a bio-relevant size and shape. By using 3D bioprinting,
            understand how RBCs are located and interact within the   they created a customized GelMA-based phantom with a
            GelMA sample. Overall, PAI is a highly effective method for   thin layer of melanin-containing material that resembled
            characterizing the morphology and mechanical properties   the epidermal layer of the human skin (Figure 9a). They
            of hydrogels, which are typically bioprintable materials.  found that larger PDA clusters and higher concentrations
               Using PAI, it is possible to characterize  bioprinted   of PDA nanoparticles produced stronger PA signals. In
            constructs by measuring factors such as the microstructure   addition to characterizing the material, PAI was used to
            of blood vessels, blood sO , and density of biomaterials. Ma   assess how well the simulated skin replicated real skin. The
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            et al. created in vitro 3D-bioprinted models of blood vessels   PA signal of the simulated skin was found to match that

            Volume 10 Issue 4 (2024)                        13                                doi: 10.36922/ijb.3448
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