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RESEARCH ARTICLE

           A Deep Learning Quality Control Loop of the

           Extrusion-based Bioprinting Process


           Amedeo Franco Bonatti , Giovanni Vozzi , Chee Kai Chua , Carmelo De Maria *
                                                     1
                                                                     2
                                                                                          1
                                   1
           1 Department of Information Engineering and Research Center “Enrico Piaggio,” University of Pisa, Pisa, Italy
           2 Engineering Product Development Pillar, Singapore University of Technology and Design, Singapore
           Abstract: Extrusion-based bioprinting (EBB) represents one of the most used deposition technologies in the field of bioprinting,
           thanks to key advantages such as the easy-to-use hardware and the wide variety of materials that can be successfully printed.
           In recent years, research efforts have been focused on implementing a quality control loop for EBB, which can reduce the
           trial-and-error process necessary to optimize the printing parameters for a specific ink, standardize the results of a print across
           multiple laboratories, and so accelerate the translation of extrusion bioprinted products to more impactful clinical applications.
           Due to its capacity to acquire relevant features from a training dataset and generalize to unseen data, machine learning (ML) is
           currently being studied in literature as a relevant enabling technology for quality control in EBB. In this context, we propose
           a robust, deep learning-based control loop to automatically optimize the printing parameters and monitor the printing process
           online. We collected a comprehensive dataset of EBB prints by recording the process with a high-resolution webcam. To
           model multiple printing scenarios, each video represents a combination of multiple parameters, including printing set-up
           (either mechanical or pneumatic extrusion), material color, layer height, and infill density. After pre-processing, the collected
           dataset was used to thoroughly train and evaluate an ad hoc defined convolutional neural network by controlling over-fitting
           and optimizing the prediction time of the network. Finally, the ML model was used in a control loop to: (i) monitor the printing
           process and detect if a print with an error could be stopped before completion to save material and time and (ii) automatically
           optimize the printing parameters by combining the ML model with a previously published mathematical model of the EBB
           process. Altogether, we demonstrated for the first time how ML techniques can be used to automatize the EBB process, paving
           the way for a total quality control loop of the printing process.
           Keywords: Extrusion-based bioprinting; Quality control; Convolutional neuronal network; Automatic parameter optimization

           *Correspondence to: Carmelo De Maria, Department of Information Engineering and Research Center “Enrico Piaggio,” University of Pisa,
           Pisa, Italy; carmelo.demaria@unipi.it
           Received: August 26, 2022; Accepted: September 6, 2022; Published Online: October 11, 2022
           (This article belongs to the Special Issue: Related to 3D Printing Technology and Materials)

           Citation: Bonatti AF, Vozzi G, Chua CK, et al., 2022, A Deep Learning Quality Control Loop of the Extrusion-Based Bioprinting Process. Int
           J Bioprint, 8(4):620. http://doi.org/10.18063/ijb.v8i4.620

           1. Introduction                                     mechanical  (i.e.,  piston actuated  and screw assisted)
                                                               or pneumatic, which is attached to a three-dimensional
           In recent years, the field of bioprinting has seen a strong   (3D) positioning system. By applying a pressure on the
           increase of interest as a promising solution to fabricate   material (usually a hydrogel) inside a reservoir (usually a
           tissues and organs for tissue engineering applications [1,2] .   syringe) while moving it over a printing plate, a 3D shape
           Among the technologies currently available,  extrusion-  can be obtained in a layer-by-layer fashion [4,5] .
           based bioprinting (EBB) has been adopted as the most    Significant  efforts  have  been  made  to  develop
           popular  approach  thanks  to  its  simple  and  affordable   novel biomaterial inks  that show enhanced biological
                                                                                  [6]
           hardware, a wide array of processable materials, and the   response and  appropriate  physical-chemical  properties
           ability to print clinically sized constructs . The typical   for the target tissue, while also being processable through
                                              [3]
           EBB  set-up consists of an  extrusion  tool-head,  either   EBB with good printability (i.e., a combination of several
           © 2022 Author(s). This is an Open-Access article distributed under the terms of the Creative Commons Attribution License, permitting distribution and
           reproduction in any medium, provided the original work is properly cited.
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