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International Journal of Bioprinting                                    Machine learning and 3D bioprinting















                                   Figure 7. Cell–microenvironment interaction analysis in bioprinted constructs.


            For example, the nuclei segmentation method AD-GAN   lead to the discovery of additional unknown cell responses
            was proposed to segment cell/nuclei in an unlabeled CLSM   or functions in the future, which have not been observed
            image dataset , which consisted of 40 images from cultured   and analyzed in current laboratory practices.
                      [52]
            A549, 3T3, and HeLa cells. This DL method can distinguish
            nuclei with preserved shape and location information so as   4. Challenges and outlook
            to rapidly screen cell–microenvironment interactions .
                                                        [36]
            In addition, self-label clustering has been used to cluster   ML methods can be used to develop classification,
            and identify distinct morphological phenotypes of a   regression, and segmentation models for bioprinting
            single cell type using low-resolution brightfield images .   processes and bioprinted constructs. It provides a
                                                        [53]
            Compared with supervised ML methods using datasets   systematic solution to diagnose uncontrollable factors,
            with concrete labels, unsupervised DL methods can utilize   maintains the reliability of the bioprinting process, and
            prior knowledge from human beings at abstract levels and   optimizes biomaterial/bioink and process parameters.
            explore raw data with unknown structures or ideas.   Studies have offered the potential to customize bioprinted
                                                               constructs and manipulate their cell culture responses, as
               In general, the ML workflow in image-based cell–  expected. However, several challenges and concerns must
            microenvironment interaction analysis is summarized in   be addressed prior to further exploration.
            Figure 7, which consists of biological image collections
            and subsequent cell/nuclei segmentation, cell phenotype   4.1. Dataset quality and size for ML model building
            identification,  and cell  type  classification.  This analysis   The  performance of  ML  models is  determined  by  the
            can visually depict the in situ biological performance   quality  of  accessible  datasets.  Comprehensive  and
            of bioprinted constructs and intuitively illustrate   consistent datasets may benefit the development of
            the influence of physicochemical properties on cell   ML  models  such  that  they  can be  scaled  up  for  wider
            behavior. In addition, the quantitative indication of the   material properties or scaled out for diverse bioprinting
            applied material, morphology, and structural design on   technologies. However, the quality of the current datasets
            biological performance provides crucial insights into the   is far below this requirement. First, the datasets collected
            environmental impact on cell behavior.             from diverse bioprinters and operational protocols include
                                                               a large amount of noise and bias. Even if the datasets are
               As previously discussed, both traditional ML and
            DL methods can identify cell shapes and phenotypes   collected under the same experimental setup, material
                                                               composition, and process parameters, they can be easily
            on bioprinted constructs with varied nanotopography   interrupted by uncontrollable factors in micro/nanoscale
            and diverse structures. Segmented cells may serve as   bioprinting. Using such datasets directly may reduce the
            candidate  templates to offer  more  effective  in  situ  cell   effectiveness and reliability of the developed ML models.
            morphology analysis, efficient cell counting, and growth   However, no study has explored dataset cleaning and data
            pattern discovery. This investigation may potentially link   normalization in bioprinting.
            cell shape and functionalities in the next step. Meanwhile,
            there is still much space to discover methodologies for   In addition to dataset quality, the size of the datasets
            nuclei identification under high cell densities, diverse   is  another  issue.  Owing  to  the  expensive  and tedious
            cell morphologies, or multiple cell types, which can be   data collection process, only a small dataset is currently
            observed in dynamic cell phenotype transformations such   available for ML applications in bioprinting, particularly
            as differentiation, migration, and proliferation. In fact, DL   in material optimization and cell performance analysis.
            methods are more competent in biological image analysis   For example, Tian  et al.  built a dataset consisting of
                                                                                   [34]
            than traditional ML methods, considering their ability to   617 instances regarding cell viability and 339 instances
            identify underlying patterns or salient features. This may   regarding filament diameter using 75 published research


            Volume 9 Issue 4 (2023)                         57                           https://doi.org/10.18063/ijb.717
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