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Support-Vector-Machine-Guided Parameter Selection for Extrusion-Based Bioprinting
           versatile, and can be used with bioinks having a much   printer, such as the height of the nozzle, printing speed,
           wider range of viscosities . Extrusion bioprinting can be   and extrusion speed. Material parameters  are related
                                [10]
           further characterized by two types of printers: pneumatic-  to properties of the material  being used, such as its
           based and displacement-based . In a pneumatic-based   composition, viscosity, and storage or loss modulus.
                                     [11]
           printer, pressure in the reservoir is manipulated to force   To encompass both types of parameters,  nozzle  gauge
           material  through the nozzle  onto the print bed.  They   and path height were selected for process parameters,
           allow for precise pressure control which is important   and composition  and nozzle  temperature  were selected
           to maintaining  cell-viability  during printing. Motor-  for material parameters.  Nozzle temperature  may be
           based printers utilize a motor to push material down the   considered  as falling  under  both  categories  due  to
           reservoir  and  through  the  nozzle.  Despite  less  precise   thermoresponsive viscosity change of PL 127.
           pressure control, motor-based printers provide better   Machine learning (ML) is currently the most rapid
           spatial, and flow control and are therefore a better choice   developing  field  and  has  tremendous  potential  in  3D
           when using high viscosity materials  such as those in   printing in terms of developing materials and processes.
                                          [12]
           this study.                                         ML is a tool that establishes statistical models to analyze
               The  overarching  type  of  material  used  in   underling  behaviors of a system  and give  predictions
           biofabrication  is  the  bioink.  Bioinks  are  soft  materials   based on training data . There have been several studies
                                                                                 [21]
           which contain  living cells that are essential  for   trying  to  fast-track  optimal  bioprinting  parameters
           prospective applications [13,14] . A common type of bioink   and predict printing outcome based on ML algorithms.
           is the hydrogel, which is a highly hydrated cross-linked   Conev  et al.  used  Random  Forest  (RF)  classifier  and
           polymer  network  capable  of  providing  a  tissue-like   regressor to identify suitable printing conditions to
           environment for cells [13,15] . Because of their high hydration   recommend for 3D extrusion printing of poly (propylene
           and ability to form 3D structures, hydrogels are an ideal   fumarate).  The authors trained the two RF models
           candidate for bioprinting which allows cells to survive   using a previous factorial design datasets and explored
           and grow . Thermo-responsive hydrogels are of interest   the significance of each parameter based on the feature
                  [13]
           in 3D bioprinting due to the opportunity to manipulate   weights . Menon  et al. used hierarchical  ML (HML)
                                                                     [22]
           their properties through temperature control to assist in   to predict 3D printing of silicone elastomer. A physical
           printing. Among this group of hydrogels is materials such   modeling layer was integrated in the HML framework,
           as  gelatin,  methylcellulose,  and  PEO-PPO-PEO  block   and the model was trained on 38 data points. Previously
           copolymers (trade named Pluronic) . Pluronic F127   unseen data were discovered by the HML with high print
                                          [11]
           (PL 127) is of particular interest due to its success for   fidelity  and  2.5  times  higher  printing  speed . Ruberu
                                                                                                     [23]
           uses as a sacrificial material  which can be printed along   et al. employed Bayesian Optimization (BO) to find the
                                  [3]
           with other materials then easily removed or washed away   optimal printing parameters for 3D extrusion printing of
           leaving other materials intact [11,16] .            gelatin methacrylate and methacrylated hyaluronic acid
               To characterize outcomes, the term  printability   composite bioink. The number of experiments required to
           is often used. Printability is defined as the geometrical   reach global optima ranged up to 47 with different bioink
           difference between the designed print and the experimental   composition, which was greatly reduced compared with
           print . Printability is often characterized quantitatively   full factorial design (6000 – 10,000) . However, these
               [15]
                                                                                              [24]
           (termed  print  fidelity ) using numerical  indices of   ML models still require quite large amount of training data
                              [15]
           a print’s dimensions and pores [17-19]  or qualitatively   points. Considering the cost of biomaterials, living cells,
           through visual inspection for tears, breakage, or overall   and biofactors, we are looking to adopt an algorithm with
           performance.  Before  testing,  printability  may  also   a minimal requirement on the number of training data that
           be evaluated  on the basis of material  properties and   can still perform well.
           performance [15,20] . For this experiment  and PL 127’s   The  objective  of  this  study  is  two-fold.  The  first
           applications  in bioprinting,  manipulating  parameters  to   objective is to evaluate the effects of printing parameters
           create a high-fidelity print is desirable. To simplify and   on the printability of PL 127 (Figure S1). The previous
           apply experimental  results, width index is used as the   research has been conducted on other thermoresponsive
           primary  indicator  for printability  in  this  experiment.   hydrogels, including  gelatin  and alginate [2,17,19,25] , or
           Four parameters were selected for testing based on the   has  used  pneumatic-based  printers  which  allow  for
           hypothesis that they would have a significant impact on   manipulation of pressure which is often studied due to
           the width index and therefore printability of PL 127.  its significant impact on print outcomes . The first study
                                                                                               [26]
               Printing parameters are the wide range of variables   focuses on establishing the understanding of how each
           which can be adjusted to impact printing outcomes.   parameter  affects  the  outcome  of  extrusion  printing  of
           Printing parameters can be separated into two categories.   PL 127. The second objective of this study is to utilize
           Process parameters are factors which are set by the   Support  Vector Machine (SVM) algorithm  to select

           180                         International Journal of Bioprinting (2021)–Volume 7, Issue 4
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