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International Journal of Bioprinting                                    Machine learning and 3D bioprinting



            papers  by searching the Web  of  Science  database. A   selection  and the  subsequent crosslinking  at  different
            nuclei segmentation dataset, Scaffold-A549, was built by   degrees to build biological constructs with desired shape
            collecting human lung cancer cell images for cell–scaffold   fidelity.
            interaction studies. This dataset consisted of 20 high-  4.3. Unlabeled data in cell performance analysis
            resolution unlabeled CLSM images and one fully labeled   The application of supervised ML methods relies on a
            image with approximately 800 segmented nuclei. Although   carefully and precisely labeled dataset. However, it is
            data augmentation can artificially enlarge a dataset by   difficult to label nuclei or cells on bioprinted constructs
            adding noise and interpolating or extrapolating between   using biological images. First, several overlapping cells or
            samples in a feature space, its application in bioprinting   thousands of nuclei with irregular or deformed shapes are
            has not yet been reported.
                                                               observed. Varied cell shapes, phenotypes, and types cause
               To advance bioprinting using ML, it is essential to   this labeling task to worsen. Moreover, a single-cell type
            make additional experimental data publicly available   may exhibit a wide range of morphologies in terms of
            or accessible upon request. Using similar open-source   adhesion, proliferation, and migration. Thus, the interest
            software for bioprinters and establishing a worldwide   in applying unsupervised ML methods to model such
            data-sharing network could be promising . However,   complex unlabeled datasets has continued to grow. Such
                                               [46]
            researchers may not wish to publish the collected data   studies aim to automatically identify cell types or behaviors,
            because of expenses related to the materials, manpower,   assist in the discovery of biological phenomena at the
            and facilities. This has impeded the advancement of ML   single cell level, and upgrade cell laboratory workflow.
            applications for bioprinting.
                                                               4.4. Digitalized in situ performance analysis
            4.2. Information integration and coordination from   The bioprinted constructs are biologically evaluated based
            multiple sources                                   on the overall performance of comparative samples. This
            Apart from dataset quality, information integration from   gap has motivated researchers to explore in situ evaluation
            multiple formats and sources  is an ongoing research   methods. As the biological images of these constructs
            issue. In current studies, the collected numerical data or   are collected, DL can digitalize them by segmenting cell/
            images in bioprinting are used individually for specific   nuclei, classifying cell types, and identifying phenotypes.
            prediction tasks. For example, features extracted from   This is valuable when analyzing bioprinted constructs
            the process parameters or material properties can be   with  multilayer  heterogeneous  or  gradient  structures.
            conveniently used to develop prediction models [20,39,54] .   Currently, overall performance evaluation cannot provide
            However, it is difficult to deliver a prediction task when   in situ information about the biological response of a
            both image and numerical data are input. They are   structure. The digitalized cell distribution can also present
            equally  important  and  should  be  synchronously  used  to   an intuitive biological response to the structural design,
            develop process–material–performance models or refine   layer-specific fiber diameter and pore size, and biomaterial
            bioprinted construct designs for better cell performance.   composition. Consequently, the cell number and spatial
            Further strategic studies should be conducted to integrate   behavior of bioprinted constructs can be subjectively and
            the diverse data formats when developing ML prediction   quantitatively evaluated. This would impel researchers
            models. In addition, the emerging technologies, such   to combine diverse materials and structures and
            as big data and digital twin, may also contribute to the   support functional scaffold design with better biological
            information integration and coordination. One way is   performance and revolutionize construct-based organ or
            to build ML training databases using big data curation,   disease model studies. More studies using ML to predict
            and the other is to build digital twins of human tissue/  tissue formation and create organoid and tumoroid models
            organs with cellular resolution and properties . As such,   are expected, although these topics seem significantly
                                                 [17]
            a standard bioprinting simulation practice is expected to   challenging.
            balance  virtual and physical experiments and maximize   5. Conclusion
            bioprinting resource utilization.
                                                               Bioprinting has demonstrated its ability to produce
               Information integration and coordination is of
            increasing interest in multi-material printing. To achieve   constructs for cell culture in tissue engineering and drug
                                                               screening. These applications are still primitive because of
            a cost-effective and time-efficient printing, ML is expected   the  limited  fundamental  research  on  process–material–
            to integrate and coordinate diverse information in this   performance.
            process so as to enhance printing resolution, printing path
            planning, G-code error detection, and structural stability   In this review, the current status, challenges, and
            of bioprinted construct. ML can also facilitate the material   outlook of ML applications in bioprinting are discussed.


            Volume 9 Issue 4 (2023)                         58                           https://doi.org/10.18063/ijb.717
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