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International Journal of Bioprinting                                      Bioprinting with machine learning



            error, and the learning method is designed. The learning   integrated learning algorithm itself is not a single machine
            method is an easy logical processing of a layer of learners,   learning algorithm, but through the construction and
            instead  of  the  results  of  weak  learners.  The  results  of   combination of multiple machine learning machines to
            training weak learners are input, and a learner is retrained   complete the learning task, it has a high accuracy in the
            to obtain the last output. In that case, we call the weak   machine learning algorithm, with the shortcomings being
            learner the primary learner, and the learner used for   the complicated training process of the scheme and the low
            combination is called the secondary learner. For the test   efficiency .
                                                                      [67]
            sample, the primary learner is first predicted to gain the
            input data of the secondary learner. Then, the secondary   4. Looking for more suitable bioinks
            learner is predicted again to obtain the final prediction   Bioprinted products are composed of bioinks that are
            result .                                           deposited layer by layer, and therefore, the performance
                [70]
                                                               of bioinks has a significant impact on the final bioprinted
            3.6. Comparison of the machine learning methods    products. Due to the variety of bioprinting technologies,
            The traditional machine learning algorithm represented   it is difficult to find a unified standard to prepare bioink.
            by K-nearest neighbor is generally considered shallow   Advanced  technology  and  high  level  of  operators’
            learning, and the features of the training data must be   experience are often required to manually prepare bioink,
            specified manually in the training process. Its feature   and the quality of final product is not guaranteed. The
            extraction ability of sample data and model generalization   machine learning algorithm, combined with its powerful
            is relatively weak, and it is usually applied in classification   feature analysis ability, gives a perfect solution for the
            and  linear  regression  problems.  Machine  learning   preparation of bioink through the configuration of bioink
            algorithms represented by neural networks are considered   in the existing cases and addressing the inconsistent quality
            deep learning, which can automatically extract features   of the final printed product.
            from training data without human intervention. Therefore,
            deep learning has better feature extraction ability and model   The cell activity in bioink has a very important influence
            generalization ability as well as good analysis effect on high-  on the final printing effect. However, the low activity of cells
            dimensional data, and can deal with nonlinear problems.   in extrusion-based bioprinting limits its application. Reina-
                                                                        [73]
            However, the deep learning model has poor explanatory   Romo et al.  attempted to quantitatively analyze the effects
            ability, involves many parameters, and consumes a lot of   of cells in bioink based on machine learning algorithms.
            resources in the training process. However, the traditional   They studied the force of three hydrogels when passing
            machine learning algorithm has a complete mathematical   through two nozzles of different shapes. The collected
            theory and strong interpretability. Moreover, the training   data were analyzed by a machine learning algorithm called
            of traditional machine learning algorithm models require   Gaussian process. The algorithm was not only suitable
            fewer resources .                                  for estimating the importance of each parameter, but
                        [71]
               Multi-layer perceptron, convolutional neural networks,   also could calculate the influence of changing parameters
            and long short-term memory neural networks all belong   on the final printing results. The dataset was derived
            to deep learning. When there are too many layers in the   from the existing accurate data, and its adaptability was
            multi-layer perceptron model, there will be too many   verified by random partition. The effect of the framework
            model parameters, resulting in high training costs and   was verified by comparing the calculated results with
            overfitting problems. Convolutional neural network   the current experimental data. In order to maintain cell
            solves these problems by using local connection and   activity and withstand the pressure in the printing process,
                                                                              [74]
            parameter sharing to some extent. However, the data in the   Allencherry  et al.   studied  the  configure  method  of
            convolutional neural network can only travel forward and   hydrogel and gelatin bath in extrusion-based bioprinting.
            have no memory of the data that have been processed. Long   A convolutional neural network was employed to identify
            short-term memory neural network not only has memory   the quality of the final prints. The objects processed by the
            function, but also can deal with long-term dependence   neural network and the data in the dataset were all images
            problem. But the structure of long short-term memory   obtained by optical microscope scanning, with a total of
            neural network is too complex .                    108 images in the dataset. A statistical analysis reported
                                    [72]
                                                               that the  accuracy  of the model could reach 93.51%. Xu
               Regardless of how a single machine learning model is   et al.  introduced a framework containing four machine
                                                                   [75]
            trained and optimized, it always has some shortcomings   learning algorithms to determine viability of cells in
            that are difficult to solve. Ensemble learning can combine   bioink in stereolithography-based bioprinting. The four
            a variety of machine learning algorithms to get a better   algorithms are random forest, k-nearest neighbor, ridge
            model to obtain better predictive performance. The   regression, and neural networks. They first continuously


            Volume 9 Issue 4 (2023)                        342                         https://doi.org/10.18063/ijb.739
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