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RESEARCH ARTICLE

           The Technique of Thyroid Cartilage Scaffold Support

           Formation for Extrusion-Based Bioprinting


           N. V. Arguchinskaya , E. E. Beketov *, A. A. Kisel , E. V. Isaeva , E. O. Osidak , S. P. Domogatsky ,
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                                                                                                          2,3
           N. V. Mikhailovsky , F. E. Sevryukov , N. K. Silantyeva , T. A. Agababyan , S. A. Ivanov ,
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           P. V. Shegay , A. D. Kaprin 4
                      4
           1 A. Tsyb MRRC – Branch of the National Medical Research Radiological Center of the Ministry of Health of the Russian
           Federation, Obninsk, Russia
           2 Imtek Ltd., Moscow, Russia
           3 Russian Cardiology Research and Production Center Federal State Budgetary Institution, Ministry of Health of the Russian
           Federation, Moscow, Russia
           4 National Medical Research Radiological Center of the Ministry of Health of the Russian Federation, Obninsk, Russia
           Abstract: During biofabrication, a tissue scaffold may require temporary support. The aim of this study was to develop an
           approach of human thyroid cartilage scaffold temporal support formation. The scaffold 3D-model was based on DICOM
           images. XY plane projections were used to form scaffold supporting part. To verify the technique, collagen hydrogel was
           chosen as the main scaffold component. Gelatin was applied for the supporting part. To test the applicability of the approach,
           a model of thyroid cartilage scaffold with the support was printed. The scaffold corresponded to a given model, although some
           discrepancy in geometry was observed during verification by computed tomography.
           Keywords: Computer-aided design/Computer-aided manufacturing; 3D-bioprinting; Cartilage; Collagen; Gelatin

           *Correspondence to: E. E. Beketov, A. Tsyb MRRC – Branch of the National Medical Research Radiological Center of the Ministry of Health of the
           Russian Federation, Obninsk, Russia; beketov.ee@yandex.ru

           Received: January 18, 2021; Accepted: March 5, 2021; Published Online: April 12, 2021
           Citation: Arguchinskaya NV, Beketov EE, Kisel AA, et al., 2021, The Technique of Thyroid Cartilage Scaffold Support
           Formation for Extrusion-Based Bioprinting. Int J Bioprint, 7(2):348. http://doi.org/10.18063/ijb.v7i2.348

           1. Introduction                                     Furthermore, сell-laden hydrogel should have elasticity
                                                               in a narrow range that provides not only cell survival
           Tissue engineering  is based on the use of a scaffold   but also helps to direct  cell  differentiation  in a certain
           loaded  with cells and growth factors.  Bioprinting  is a   way [3-5] . It requires the cell-laden material to be both soft
           good choice for biofabrication of scaffolds with complex   for the cells and rigid to maintain the geometry. Sometimes
           or customized geometry.  The technology includes not   the condition is achievable.  Gelation  as well as cross-
           only different  types of material  dispensing (extrusion-,   linking processes caused by either ultraviolet (UV)-light,
           inkjet-,  and  laser-based fabrication)  but also  a number   temperature  or pH shift take time, and more accurate
           of accompanying techniques, such as the use of medical   bioprinting is ensured by hydrogels in the form of high
           imaging data (computed tomography [CT] and magnetic   viscous liquid or gel in its early sol-gel stage [6-9]   . In both
           resonance imaging) for the scaffold model creation. The   cases, additional material support during biofabrication
           ability to reproduce both internal structure and external   may be necessary.
           geometry of the organ or tissue, mimicking native ones   Bioprinting is a promising approach for restoration
           is a key advantage of the approach [1,2] . One of the main   of many types of tissues, including cartilage.  The human
           challenges  in bioprinting is related  to the materials.   thyroid cartilage is a good model to verify a new bioprinting
           Bioprinting  requires  that  a  biomaterial  provides  the   technique.  The cartilage has a complex geometry with
           scaffold  with stability  during and  after  the  printing.   overhanging elements. Its printing process requires the use

           ©  2021 Arguchinskaya,  et al.  This is an Open Access article  distributed under the terms of the Creative  Commons Attribution-NonCommercial  4.0
           International License (http://creativecommons.org/licenses/by-nc/4.0/), permitting all non-commercial use, distribution, and reproduction in any medium,
           provided the original work is properly cited.
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