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International Journal of Bioprinting



                     References   [20-24]  [25-32]  [23,30,33,35,36]  [30,32,37,40]  to meet different printing requirements, such as embedded
                                                               printing,  co-axial printing, multi- or  single-nozzle  multi-
                                                               material printing, and continuous chaotic printing . For
                                                                                                        [26]
                                                               example, single-nozzle multi-material printing allows the
                                                               synchronized delivery of different bioinks with an array
                                                               of nozzles to fabricate the product with heterogeneous
                                                               materials and gradient hierarchical structures . In addition,
                                                                                                  [27]
                                                               the fabrication of multi-material core-shell structures that
                                                               mimic anatomical tissues can be easily achieved by co-axial
                                                               printing . The nozzle size can be adjusted by computer to
                                                                     [28]
                                                                                                   [29]
                                                               compared with other 3D printing technologies, the printing
                                                               resolution of the EBP is lower, resulting in poorer accuracy
                                                               of cell organization . The reduction in nozzle diameter
                     Disadvantages  • Easy nozzle clogging  • Limited bioink viscosity • Low cell density (<10 6  cells/mL)  • Low cell viability (40%–80%)  • Moderate resolution  • Low cell density (<10 6  cells/mL)  • High cost  • Complex control system • Only support liquid photosensitive materials  realize the control of the printing resolution . However,
                                                                               [30]
                                                               may place greater shear stress on the cells, resulting in a
                                                               decrease in cell viability . Despite such drawbacks as
                                                                                   [31]
                                                               limited resolution and lower cell activity, EBP is still widely
                                                               applied due to fast printing speed, ease of implementation,
                                                               and support for a wide range of bioinks, especially bioinks
                                                               with high cell density or high viscosity .
                                                                                             [32]

                                                               2.3. Laser-assisted printing
                          • High cell viability (75%–95%)  • High print resolution  • Support multi-material  • High bioink viscosity • High cell density (>10 8  cells/mL) •   Suitable for multi-material and various   • High cell viability (>95%)  • High bioink viscosity  • High print resolution  • High cell viability (>85%)  • High print resolution  approach that avoids technical problems associated with
                                                               Laser-assisted printing (LAP) is a nozzle-free printing
                                                               the printhead, such as nozzle clogging. LAP is composed
                                                               of a pulsed laser source, a donor slide, and a receiver slide
                 Table 1. Comparison of different 3D printing techniques in cartilage tissue engineering
                                                               (Figure 1C) . The donor slide consists of three layers from
                                                                        [33]
                     Advantages  • Low cost    printing demands  top to bottom, which are made of transparent glass, metal,
                                                               and bioink, respectively. The working principle of LAP is
                                                               derived from laser-induced forward transfer technology,
                                                               which was introduced over 30 years ago . The ultraviolet
                                                                                               [34]
                                                               (UV) light from a pulsed laser source projects onto the
                                                               energy-absorbing layer (metal layer) of the donor slide
                                                               and  causes  local  vaporization.  The  vaporization-induced
                                                               bubbles push the bioink layer on the lower part of the
                                                               donor slide to form droplets, which are deposited on the
                                                               receiving substrate and quickly crosslinked . In the non-
                                                                                                 [35]
                                                               by adjusting the thickness of the metal film . Moreover,
                                                                                                  [36]
                                                               cells are free from either thermal or mechanical stress, thus
                     Sub-category  • Thermal inkjet printing • Piezoelectric inkjet printing  • Acoustic droplet ejection  • Embedded printing  • Co-axial printing •   Multi- or single-nozzle multi-material   printing • Continuous chaotic printing  • Stereolithography  • Digital light processing  contact  printing  process,  cell  viability  can  be  protected
                                                               maintaining a relatively high cell activity (>95%) . By
                                                                                                        [23]
                                                               adjusting the parameters of the laser pulse, high-precision
                                                               printing of bioinks with different viscosities can be
                                                               achieved. However, compared with nozzle-based printing
                                           -
                                                               technology, the high cost and complex control system limit
                                                               the application of LAP .
                                                                                 [30]
                     3D printing techniques  Inkjet printing  Extrusion-based printing  Laser-assisted printing  Vat photopolymerization  2.4. Vat photopolymerization
                                                               Vat  photopolymerization  (VPP)  3D  printing  includes
                                                               stereolithography (Figure 1D) and digital light processing
                                                               (Figure 1E) . The principle of stereolithography is that
                                                                        [37]
                                                               the  liquid  photosensitive  bioink  is  photopolymerized in
                                                               a vat under exposure to UV light. After the computer-

            Volume 9 Issue 5 (2023)                        261                         https://doi.org/10.18063/ijb.761
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