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           Figure 5. Software composition and model information processing flow of the bio-computer-aided design/computer-aided manufacturing/3D
           composite printing system.

           Table 1. Current efforts toward 3D composite bioprinting
           Combined processes                        Main characteristics                          References
           Phase transition through  Extrusion printing  Improve the mechanical properties and biocompatibility   [21,22]
           temperature gradient                     of the printed construction at the same time
           Ionic crosslinking    Extrusion printing  Provide more fabrication flexibility by controlling ion   [27-30]
                                                    diffusion  and  material  extrusion  speed;  perform  cell
                                                    printing under room temperature; effectively construct
                                                    vessels like microchannels
           Electrohydrodynamics   Extrusion printing  Fabricate  scaffolds  with  good  mechanical  properties  [37,38,43-45]
                                                    and large scales, and the structure can mimic natural
                                                    extracellular matrix on the micro-nano scale; effectively
                                                    prepare the scaffolds with a multiscale pore structure
           Cell printing         Hybrid additive/   Construct  vascularized  bio  constructs  with  certain   [62-64]
                                 subtractive        mechanical strength and complex microstructure
                                 manufacturing
           Physical field control  Extrusion printing  Improve printing flexibility, especially with   [65-69]
                                                    environmentally responsive intelligent materials;
                                                    regulate materials and cells in the printing process

           composite bioprinting is a combination of two or more   regulation that can regulate filaments or cells during or
           printing processes, and it may often involve physical field   after printing.


                                       International Journal of Bioprinting (2021)–Volume 7, Issue 1        15
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