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Rodriguez-Salvador, et al.
           identification  of  keywords  and  the  design  of  a  search   the  technological  application  of  the  tissue  spheroids
           query  as  accurately  as  possible  is  required;  thereby,  it   mentioned previously.
           involves expert consultation from the beginning through   A  scientometric  analysis  was  applied  to  the
           the  validation  of  the  final  results .  Hence,  the  search   collected data to identify the current and emerging areas
                                        [19]
           query of this study was developed through an iterative   of tissue spheroids applications. First, subject areas were
           process, to identify additional keywords, aside from the   identified according to the classification given by Scopus.
           ones provided initially by experts on the topic, to improve   For publications indexed in WoS but not in Scopus, their
           its  accuracy. The  general  structure  of  the  search  query   subject  areas  were  adapted  to  Scopus  classification  to
           employed is as follows:                             maintain  homogeneity.  Subsequently,  the  publishing
               (((  spheroid*  PRE/1  (  cell  OR  cellular  ))  OR  ("3   growth dynamics within the time range selected (January
           d  spheroid")  OR  ((  3d  OR  "three  dimensional"  OR  "3   1, 2000, to June 5, 2019), along with the most prolific
           dimensional"  OR  "three  d")  PRE/1  spheroids  )  OR  (   countries,  cities,  authors,  journals,  and  institutions  on
           cancer PRE/1 spheroids ) OR ( tumor* PRE/1 spheroids )   the topic were identified. Finally, a cluster analysis was
           OR ( tumorspheres OR tumourspheres OR tumorospheres   performed  to  determine  networks  of  collaborations
           ) OR ( cell* PRE/4 spheroid*) OR ( multicell* PRE/3   between institutions and authors.
           spheroid*) OR ( tissue* PRE/2 spheroid*) OR (( hepat*
           OR liver OR pancrea* OR thyroid OR organotypic OR   3. Results and discussion
           cardiomyocyte  )  PRE/0  spheroid  )  OR  ("self  assembl*   A total of 1296 scientific documents published between
           spheroid") OR cardiosphere OR ( cell AND ( spheroid   January 1, 2000, and June 5, 2019, were retrieved; 783
           PRE/0  (  formation  OR  invasion  OR  culture  )))) AND   from  Scopus  and  513  from  WoS. A  deduplication  and
           ("tissue engineering" OR "regenerative medicine") AND   manual  validation  process  was  performed,  resulting  in
           NOT ( plant OR graphite OR bacter* OR alga* OR "solar   868  publications.  These  publications  were  classified
           cell*" OR "eutectic cell*" OR yeast OR spheroidin OR   according to the following categories.
           alloy  OR  rhodopseudomonas  OR  phytoplankton  OR
           mycobacteria OR larva OR protista OR volvox OR coli   3.1. Global trends
           OR "non-spheroid*" OR anisotropic OR pollen OR coral   Scientific  articles  and  conference  papers  retrieved  in
           OR  biofilm  OR  sponge  OR  plankton  OR  microalga*   this  study  revealed  four  global  trends  depending  on
           OR  dictyostelium  OR  microbial  OR  microbe  OR   the  application  given  to  tissue  spheroids.  These  are
           phytoplankton OR saccharomyces OR eps OR candida    building blocks, drug testing and disease model, spheroid
           OR sea OR food OR amoeba OR "date palm" OR kelvin   formation, and complementary studies. Each category is
           OR peanut OR lanata OR yew OR roseus OR ajuga OR    described in Table 1. The following tables (Tables 2-5)
           "protein aggregates" OR antenna OR batter* OR foam   correspond to the most recent and representative studies
           OR barnacle OR oblate OR review OR overview ))      from the documents analyzed for each global trend.
               Boolean  operators  AND,  OR  and  NOT  were        Results of these tables show the specific focus of the
           used  to  include  and  exclude  the  terms  and  the  PRE/#   different group trends identified. There is a diversity of
           function  that  indicates  the  number  of  words  that  may   bioinks and cell types, ranging from healthy cells, such
           be close to a specific term. Scopus and Web of Science   as  human  fibroblasts,  human  umbilical  vein  endothelial
           (WoS) databases were selected to collect the scientific   cells  (HUVECs),  human  mesenchymal  stem  cells  from
           documents. Scopus contains more than 5000 publishers   bone marrow (hMSCs), human-induced pluripotent cells
           and  75  million  items  indexed  dating  back  to  1970   (hPCSs), and carcinogenic cells (e.g., human breast cancer,
           across  different  disciplines  in  science .  In  addition,   osteosarcoma,  colon  carcinoma,  hepatoma,  and  ovarian
                                             [20]
           WoS  includes  scientific  documents  from  over  21,000   cancer  cells).  Among  them,  the  HUVECs,  MSCs,  and
           high-impact  journals  covering  more  than  100  years  of   PCSs are the most used cell types. For example, stem cells
           scientific production .                             offer interesting advantages as they can be obtained from
                            [21]
               Gathering  scientific  documents  were  conducted   various sources and differentiated into various lineages .
                                                                                                            [3]
           for  journal  articles  and  conference  papers  from  both   Our  findings  also  exhibit  that  there  is  no  single
           databases  that  were  published  between  January  1,   predominant  3D bioprinting process, this technology is
           2000,  and  June  5,  2019  (when  the  collection  activity   evolving rapidly and different approaches exist depending
           ended).  The  documents  obtained  from  each  database   on  the  main  goal  to  achieve.  Moreover,  our  results
           were  exported  and  combined  into  a  single  list,  where   also  show  that  spheroid  resolution  can  be  manipulated
           a  manual  cleaning  process  was  performed  to  remove   depending on the purpose of the study provided that a
           documents not complying with the purpose of the study,   certain spheroid size is not yet defined.
           as  well  as  those  containing  duplicated  information.   According to Ng et al.,  a key dilemma lies in the
                                                                                       [5]
           The  resulting  documents  were  classified  according  to   need of obtaining a balance between achieving the nano-
                                       International Journal of Bioprinting (2021)–Volume 7, Issue 1       137
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