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International Journal of Bioprinting                                    Machine learning and 3D bioprinting



            after deposition. ML is expected to optimize process-
            related parameters, such as the type of crosslinking and the
            density of the formed crosslinks, and to explore the trade-
            off between the stiffness of the deposited structures and
            the printability of hydrogel inks. However, to date, no such
            studies have been reported.
               It is often assumed that ML methods can accelerate
            biomaterial/bioink studies by optimizing formulations,
            viscosity, and the consequent rheological properties to
            control the biological and mechanical performance. The
            integration of multiple properties can also be considered
            as the evaluation metrics for the optimization tasks. To
            develop a stable Col-I bioink which is a mixture of 15
            compositions , the bioink concentration should be
                       [43]
            optimized in terms of both mechanical properties and
            transparency. Such research would significantly advance
            the  manipulation  of  cell  proliferation,  migration, and   Figure 6. ML application in cell viability analysis.
            differentiation in bioprinted constructs. Moreover, ML
            models are expected to link biomaterial/bioink with   data. When the actual value of cell viability is known, three
            complex  biological  functions,  such  as  biodegradability,   traditional ML regression models were built, including
            and even their effectiveness in in vivo experiments. These   SVM, linear regression, and random forest, when printing
            studies will create new avenues for bioprinted construct   alginate/gelatin-based hydrogels loaded with cells . For
                                                                                                       [34]
            applications in tissue engineering and drug screening.   the same task, classification methods can be applied when
            Leveraging ML  modeling capabilities  would  also drive   using a threshold to judge the cell viability. Three binary
            informative biomaterial/bioink designs with more   classifiers including random forest, logistic regression
            flexibility.                                       classification, and SVM, were constructed to classify cell
                                                               viability using a threshold of 80%. All of them are also
            3. ML applications in cell performance             capable of ranking the impact of bioink properties and
            studies                                            process parameters and establishing their individual cell
                                                               viability prediction models.
            ML applications in cell performance include cell viability
            prediction  and  cell–microenvironment  interaction   In addition to the extrusion parameters, the nozzle
            analysis.                                          geometry was further investigated in terms of its influence
                                                               on shear stress and resultant cell viability. The Gaussian
            3.1. Cell viability in printing                    process was utilized to identify the key geometric
            EBB can incorporate cells for cell-laden construct building,   parameters among the radius of the middle and exit of the
            and the extrusion force may damage the incorporated cells   nozzle and the nozzle length . As a result, the influence
                                                                                      [44]
            when  they  pass  through  an extrusion  nozzle.  Since  the   of nozzle geometry on cell viability was quantitatively
            printability and cell viability are two critical issues in EBB,   assessed using a relatively small number of preliminary
            the selection of appropriate process parameters and bioink   experiments when extruding the hydrogel bioink.
            properties  would  help  fragile  and  sensitive  cells  survive    With the aid of traditional ML methods, cell viability
            during and after extrusion, and benefit cell growth in   can be optimized by selecting appropriate biomaterial/
            culture. ML has been applied to search for these parameters   bioink and printing parameters. Researchers may doubt
            with the aim of minimizing the negative influence of this   the overall performance of a single method or model
            extrusion force.                                   when handling different material properties and printing

               The workflow of ML applications in cell viability   conditions. Thus, an ensemble learning algorithm was
            analysis is shown in Figure 6, where the dataset is prepared   proposed by combining neural networks, ridge regression,
            with the inputs from the extrusion parameters and bioink   K-nearest neighbors, and random forest (RF) to predict
            properties, and the output, that is, the corresponding cell   cell viability in constructs printed by stereolithography .
                                                                                                           [45]
            viability. Various cell viability prediction models can be   The experimental dataset consisted of the UV intensity,
            constructed using this workflow. The prediction methods   UV exposure time, gelatin methacrylate concentration,
            for cell viability studies are determined by the available   layer thickness, and associated cell viability. By exploiting



            Volume 9 Issue 4 (2023)                         55                           https://doi.org/10.18063/ijb.717
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