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Rodriguez-Salvador, et al.
           Table 5. Global trend: tissue spheroids as building blocks applying biofabrication techniques.
           Article           Authors             Year/Source      Impact Analysis
           Accessible        Reid, JA; Mollica,   2016/           To the best of the author’s knowledge, their system is
           bioprinting:      PA; Johnson, GD;    Biofabrication   the first “3D printed, bioprinting system” to reliably
           Adaptation        Ogle, RC; Bruno,                     achieve single-cell print resolutions within 50.0 µm
           of a low-cost     RD; Sachs, PC.                       resolution while also exerting minimal unwanted
           3D-printer for                                         impact on the cells viability and post-printing fate.
           precise cell                                           The plotting routine was set to dispense a number of
           placement                                              100 nL droplets 200.0 µm (X, Y) apart and 250.0 µm
           and stem cell                                          (Z) from the plate bottom into wells of a 96 well plate
           differentiation [25]                                   containing 50.0 µL of a 1:1 mixture of growth factor
                                                                  reduced Geltrex and differentiation supportive media.”
                                                                  The human induced pluripotent stem cells (hiPSC)
                                                                  “aggregates were incubated at 37.0°C, 5.0%CO  for
                                                                                                        2
                                                                  7 days. […] an accessible open-source 3D bioprinter
                                                                  capable of serving the needs of any laboratory
                                                                  interested in 3D cellular interactions and tissue
                                                                  engineering.”
           Airflow-Assisted   Zhao, H; Chen, Y;   2018/Small      “[…] heterogeneous microspheroids are drawing much
           3D Bioprinting    Shao, L; Xie, M;                     attention as a promising tool to carry multiple cell
           of Human          Nie, J; Qiu, J; Zhao,                types in separated phases […] a novel airflow-assisted
           Heterogeneous     P; Ramezani, H; Fu,                  3D bioprinting method is reported, which can
           Microspheroidal   J, Ouyang, H; He, Y.                 print versatile spiral microarchitectures inside the
           Organoids with                                         microspheroids.” Printed spheroids presented a 0.5 mm
           Microfluidic                                           diameter with an inner spiral of 10.0 µm. L929 cells
           Nozzle [27]                                            were cultured for 4 days and had a 90.0% viability
           Magnetic          Labusca, L; Herea,   2021/Journal    In this study, the authors used magnetic levitation
           nanoparticle      DD; Minuti,         of Biomedical    to “obtain highly reproducible human ADSC–MNP
           loaded human      AE; Stavila, C;     Materials        assembled in 3D culture (spheroids) with the purpose
           adipose derived   Danceanu, C;        Research Part    of increasing stem cell specific properties. […]
           mesenchymal       Grigoras, M;        B: Applied       Levitated spheroid culture of ADSC-MNP can be
           cells spheroids   Ababei, G; Chiriac,   Biomaterials   further tested for various application in regenerative
           in levitated      H; Lupu, N.                          medicine and organ modeling.” Adipose-derived
           culture [49]                                           mesenchymal cells (ADSC) spheroids were combined
                                                                  with magnetic nanoparticles (MNP) and cultured
                                                                  in a 96 well plates with a concentration of 1000
                                                                  cells at 37.5°C for 7 days. “For magnetic field (MF)
                                                                  stimulation and establishment of levitated culture,
                                                                  permanent NdFeB magnets with diameter of 8 mm
                                                                  each were placed on the top of the 96 well plate and
                                                                  incubated.”


           5. Conclusion                                       building blocks: Seeding and Biofabrication. At present,
                                                               manual seeding predominates  over the automated
           A  scientometric  analysis  as  part  of  a  CTI  process  was
           carried out to determine the scientific research dynamics   process  of  biofabrication,  however,  with  the  arrival  of
           of tissue spheroids as building blocks. To accomplish this,   digitalization, it is expected that new technologies such
           scientific publications were retrieved from Scopus for the   as artificial intelligence and robotics will be incorporated
           period between January 1, 2015, and December 31, 2021,   in the future, providing more robust processes and tissues
           then organized and analyzed. The results revealed that the   with  superior  performance.  To  describe  the  overall
           application of tissue spheroids as building blocks is still   research  publications  landscape  and  specific  trends  for
           at an early stage. During our research, publications were   seeding  and  biofabrication  methods,  the  subject  area
           classified into two fundamental categories based on the   distributions, the most prolific countries, cities, journals,
           techniques used to deposit or assemble tissue spheroids as   and institutions, and the most cited articles regarding this

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