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International Journal of Bioprinting                                    Machine learning and 3D bioprinting



            the advantages of multiple ML methods, this learning   tree regression, and k-nearest neighbor (KNN) regression,
            algorithm used the weighted average of multiple ML models   were developed and compared. The RFr model yielded
            to improve its robustness. This model demonstrated a high   the highest accuracy when predicting the proliferation
            prediction accuracy under various printing conditions.   rate of L929 fibroblast cells after a 7-day culture, and this
            Although the necessity of this cell viability study is high,   prediction model also coincided with the data collected
            the available datasets for this research topic are limited .   from  in  vivo  studies.  This  demonstrates  the  potential
                                                        [46]
            This is in part caused by the tedious and expensive cell   of ML for discovering the impact of fiber diameter on
            viability data collection process.                 angiogenesis. However, the generalization performance of
               DL methods, such as CNN, can advance cell viability   the developed model has not been verified for more cell
            studies by segmenting cells directly in fluorescence   types and scaffold structures.
            images, which can rapidly screen the images with less   Traditional ML algorithms, including KNN, logistic
            manpower  and  effort.  A  dataset  comprising  images  of   regression, RFc, SVM, and ANN, have also been utilized
            4974 single spheroids with corresponding labels was   to evaluate delta permittivity in a scaffold-based cell
            used to build the prediction model. The developed CNN   culture environment. Four cell types were cultured on the
            model successfully categorized cell viability into three   PCL  scaffolds,  and the  corresponding  delta permittivity
            classes with a balanced accuracy of 78.7%. CNN has   was measured over time using dielectric impedance
            also demonstrated good generalization performance   spectroscopy to build the dataset. Input features were
            when predicting the cell viability of bioprinted renal   extracted from the relative permittivities at different
            spheroids under varied inhibitory concentrations as well   frequencies, time points, and cell types . Among the
                                                                                                [50]
            as experimental settings . This may be a new pathway to   developed ML models, KNN yielded the best accuracy in
                               [47]
            prompt efficient cell viability studies by segmenting cell/  classifying cell types and culture durations.
            nuclei in fluorescence images and then counting live/dead   Biological images,  such as confocal  laser scanning
            cells using the developed DL models. Nevertheless, cell   microscopy  (CLSM),  are  widely  used  to  visualize  cell
            assays using multidimensional fluorescence images are   behavior and reveal cell–microenvironment interactions .
                                                                                                           [38]
            required for more comprehensive and accurate analysis.
                                                               However, the cell shape and morphological features of these
                                                               images were difficult to extract using statistical methods.
            3.2. Cell–microenvironment interaction             ML  algorithms  have  been  proposed to  quantitatively
            Cell–microenvironment interactions are crucial for   translate and deliver this information to researchers. SVM
            immune response and tissue regeneration. It is well known   can  quantify  the  diverse  cell  morphologies  of  hBMSCs
            that the cell response varies with both materials and their   populations using CLSM images and associate them
            forms. Even for the same material, the cell response may   with specific microenvironments, such as PCL fibrous
            vary significantly when interacting with nanoparticles,   substrates  and  PCL  spin-coated  films .  SVM  can  also
                                                                                              [51]
            scaffolds, coatings, or films. Some cell types may   detect the impact of bioprinted construct morphology
            experience the benefits/risks associated with particular   on cell-shape phenotypes . Using the extracted metrics
                                                                                    [35]
            material compositions or forms. To investigate the needs   from cellular and subcellular morphometry, the developed
            and preferences of cell growth in bioprinted constructs,   SVM model successfully classified the substrates into
            their behavior should be digitalized for in situ analysis.
                                                               either woven PCL mesh with precision-stacked microscale
               There has been a growing interest in applying ML   fibers or nonwoven mesh with randomly oriented fibers.
            to identify cell types, phenotypes, and shapes. ML has   As pioneering research has linked cellular and subcellular
            outperformed experts in segmenting and classifying   morphometry with substrate topology, the quality of
            cell/nuclei in biological images across various tasks [48,49] .   the training dataset is critical for reliable identification.
            Motivated by this progress, researchers have initiated   However, the size and diversity of the datasets used in the
            studies  applying  ML  for  cell–microenvironment  aforementioned studies were not mentioned. This could
            interaction analysis, that is, cell–scaffold interaction, cell–  raise concerns regarding the robustness and convergence
            cell interaction, and cell–material interaction [35,36] .  of the proposed SVM models when dealing with images
               Traditional ML methods can model the relationship   collected from different substrate morphologies.
            between cell proliferation and the physicochemical    Owing to the complicated nature of biological images,
            properties of electrospun scaffolds with regard to the fiber   it  is difficult  to  prepare  datasets  with  labeled nuclei,
            diameter, pore diameter, water contact angle, and Young’s   morphological phenotypes, or labeled cell shapes for
            modulus .  Six  regression  algorithms,  namely,  linear   proliferation and migration. Therefore, unsupervised
                   [50]
            regression, SVM regression, RFr, lasso regression, decision   methods have been applied to model the objects of interest.


            Volume 9 Issue 4 (2023)                         56                           https://doi.org/10.18063/ijb.717
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