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Deep learning for EBB control
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           Figure 3. (A) The flow diagram of the automatic parameter optimization algorithm. (B) An example of a 4-step optimization procedure. The
           two steps, namely, the “init calibration” and the “small perturbations” steps, are highlighted, alongside example printability windows used
           to calibrate the EM parameter. The dots in the figure correspond to the EM used for each step at the corresponding LH . Green dots represent
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           a print that was predicted as “ok” by the DL model, while red dots one that was predicted with an error (“under_e” or “over_e” classes).

           viscosity, and elastic modulus) which are unknown in our   model may show a high accuracy in testing, it may fail
           case.                                               to detect the correct quality of the print due to prediction
               The  optimization  system  starts  with  the  EM   uncertainty.  To  balance  this  problem,  we  introduce  a
           suggested by the initial printability window at the given   second step called the “small perturbations” step in the
           LH  (Figure  3B,  red  dot  in  the  first  graph of the  “init   figure. After detecting a good quality print, we repeat the
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           calibration”  step). Furthermore, at this stage, it also   process by updating the EM by gradually smaller values
           computes the difference between the two values for EM max    (e.g.,  Δ/4 and  Δ/8) until the DL model predicts “ok”
           and EM  evaluated at the specified LH Equation IV:  again. The final optimized EM will be given by the mean
                 min                                           value between the optimized EM of the “init calibration”

                     ∆  = EM max (LH i ) − EM min (LH i )  (IV)  procedure and the one from the “small perturbations” step.
                                                                   To avoid wasting too much material and time, we
               The  Δ  will  be  used  as  an  update  strength  for  the   limit the overall number of updates (sum of the “init
           EM during all steps in the optimization procedure. After   calibration” and “small perturbations” steps) using a
           printing, the DL model automatically evaluates the quality   maximum iteration parameter (“max iters” in Figure 3A),
           using the methods described in the previous sections. If the   which  can  be  decided  by  the  user  (default  value  equal
           DL model prediction is an error, we update the printability   to 5). To test the overall procedure, we printed a simple
           window by making the first point the border point of one   scaffold shape of 10 mm sides and 5 mm height using an
           of the two corresponding cases (Figure 3B, green dot in   infill density of 50% and a LH  of 0.7. For this final test, we
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           the second graph of the “init calibration”). This is equal   chose to use the transparent Pluronic solution, which was
           to increasing (if the predicted class is “under_e”) or   printed with the pneumatic-based extrusion bioprinter.
           decreasing (if the predicted class is “over_e”) the EM of
           the previous step by a factor of Δ/2. The process is then   4. Results and discussion
           repeated until a good print is detected by the DL model.  4.1. Model optimization procedure
               At the end of the “init calibration” step, a new
           printability  window  has  been  defined  and  will  not  be   Figure  4 reports  the  main  results  related  to  the  model
           updated in the following steps. However, even if the DL   selection experiments. As shown in Figure 4A, all tested

           314                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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