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3D bioprinting as a designer organoid to assess pathological processes in translational medicine 3D生物打印作为一种设计类器官来评估转化医学中的病理过程
Pub Date : 2022-01-20 DOI: 10.2217/3dp-2021-0006
P. Rameshwar, V. H. Savanur, J. Etchegaray, M. Guvendiren
3D bioprinting is an additive manufacturing method, formulated with cells printed in bioinks of basic matrix such as hydrogels. Bioinks are relevant to precision medicine mainly due to recapitulation of tissue organoids with broad application. 3D bioprinting can address the issue of increased cost in drug development with overall benefit in healthcare. Despite research, solid and hematological cancer remain a clinical problem. Existing models such as patient-derived xenografts and organoids, although beneficial, have limitations. This perspective discusses 3D bioprinting in key clinical issues to hasten treatment to patients. The diseases addressed are aging, cancer metastasis, cancer dormancy and drug screening. The perspective also discusses the application for other diseases and the future for 3D bioprinting in medicine.
3D生物打印是一种增材制造方法,将细胞打印在水凝胶等基本基质的生物墨水中。生物墨水与精准医学的关系主要是由于其对组织类器官的概括,具有广泛的应用前景。3D生物打印可以解决药物开发成本增加的问题,并在医疗保健方面带来总体效益。尽管有研究,实体癌和血液癌仍然是一个临床问题。现有的模型,如患者来源的异种移植物和类器官,虽然有益,但有局限性。这一观点讨论了3D生物打印在关键的临床问题,以加快患者的治疗。涉及的疾病有衰老、癌症转移、癌症休眠和药物筛选。展望还讨论了3D生物打印在其他疾病中的应用以及3D生物打印在医学上的未来。
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引用次数: 3
3D bioprinting for meniscus tissue engineering: a review of key components, recent developments and future opportunities 半月板组织工程的3D生物打印:关键部件,最新发展和未来机会的回顾
Pub Date : 2021-12-01 DOI: 10.2217/3dp-2021-0017
X. Barceló, S. Scheurer, Rajesh Lakshmanan, C. Moran, Fiona E. Freeman, D. Kelly
3D bioprinting has the potential to transform the field of regenerative medicine as it enables the precise spatial patterning of biomaterials, cells and biomolecules to produce engineered tissues. Although numerous tissue engineering strategies have been developed for meniscal repair, the field has yet to realize an implant capable of completely regenerating the tissue. This paper first summarized existing meniscal repair strategies, highlighting the importance of engineering biomimetic implants for successful meniscal regeneration. Next, we reviewed how developments in 3D (bio)printing are accelerating the engineering of functional meniscal tissues and the development of implants targeting damaged or diseased menisci. Some of the opportunities and challenges associated with use of 3D bioprinting for meniscal tissue engineering are identified. Finally, we discussed key emerging research areas with the capacity to enhance the bioprinting of meniscal grafts.
生物3D打印具有改变再生医学领域的潜力,因为它使生物材料、细胞和生物分子的精确空间模式能够产生工程组织。尽管许多组织工程策略已经开发用于半月板修复,但该领域尚未实现能够完全再生组织的植入物。本文首先总结了现有的半月板修复策略,强调了工程仿生植入物对半月板成功再生的重要性。接下来,我们回顾了3D(生物)打印的发展如何加速功能性半月板组织的工程和针对受损或患病半月板的植入物的发展。确定了与半月板组织工程使用3D生物打印相关的一些机遇和挑战。最后,我们讨论了增强半月板移植物生物打印能力的关键新兴研究领域。
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引用次数: 5
Biomimetic design considerations for 3D-printed joints 3d打印关节的仿生设计考虑
Pub Date : 2021-11-26 DOI: 10.2217/3dp-2021-0016
Alessandro Luna
3D-printing innovations are being explored as a uniting framework for the future of individualized joint replacement. The ability to convert 2D medical images to adjustable 3D models means a patient’s own anatomy can serve as the foundation for implant design. There are three biomimetic design considerations to understand the research on these new implants. First, optimizing the unit cell of 3D models can give researchers the essential building block necessary to 3D-print reliable artificial joints. Second, adequate porosity when designing a 3D-printed biomimetic joint is a balance between strength and the need for osseointegration. Third, functionally graded material as a design principle connects unit cell and porosity to create a 3D-printed product with complex properties along different spacial axes. 3D printing offers the opportunity to incorporate biomimetic design principles that were previously unobtainable with traditional manufacturing methods.
人们正在探索3d打印创新,将其作为未来个性化关节置换的统一框架。将2D医学图像转换为可调节的3D模型的能力意味着患者自身的解剖结构可以作为植入物设计的基础。有三个仿生设计的考虑来理解这些新的植入物的研究。首先,优化3D模型的单元格可以为研究人员提供3D打印可靠人工关节所需的基本构建块。其次,在设计3d打印仿生关节时,适当的孔隙度是强度和骨整合需求之间的平衡。第三,以功能梯度材料为设计原则,连接单元胞和孔隙度,沿不同空间轴创建具有复杂性能的3d打印产品。3D打印提供了将以前传统制造方法无法获得的仿生设计原理结合起来的机会。
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引用次数: 0
Deep learning in bioengineering and biofabrication: a powerful technology boosting translation from research to clinics 生物工程和生物制造中的深度学习:一项促进从研究到临床转化的强大技术
Pub Date : 2021-11-19 DOI: 10.2217/3dp-2021-0007
João B Costa, J. Silva-Correia, R. Reis, J. Oliveira
Bioengineering has been revolutionizing the production of biofunctional tissues for tackling unmet clinical needs. Bioengineers have been focusing their research in biofabrication, especially 3D bioprinting, providing cutting-edge approaches and biomimetic solutions with more reliability and cost–effectiveness. However, these emerging technologies are still far from the clinical setting and deep learning, as a subset of artificial intelligence, can be widely explored to close this gap. Thus, deep-learning technology is capable to autonomously deal with massive datasets and produce valuable outputs. The application of deep learning in bioengineering and how the synergy of this technology with biofabrication can help (more efficiently) bring 3D bioprinting to clinics, are overviewed herein.
生物工程已经彻底改变了生物功能组织的生产,以解决未满足的临床需求。生物工程师一直致力于研究生物制造,特别是3D生物打印,提供更可靠和更具成本效益的尖端方法和仿生解决方案。然而,这些新兴技术离临床环境还很远,深度学习作为人工智能的一个子集,可以广泛探索以缩小这一差距。因此,深度学习技术能够自主处理大量数据集并产生有价值的输出。本文概述了深度学习在生物工程中的应用,以及该技术与生物制造的协同作用如何帮助(更有效地)将3D生物打印带到诊所。
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引用次数: 1
Is it time to get ‘on-track’ with 3D printing for recurrent shoulder instability? 是时候让3D打印“走上正轨”治疗复发性肩膀不稳了吗?
Pub Date : 2021-09-22 DOI: 10.2217/3dp-2021-0020
Zachary S Aman, T. Dekker, F. Familiari, R. LaPrade, Nicholas N. DePhillipo
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引用次数: 0
3D printing in spine surgery: current and future applications 3D打印在脊柱外科:当前和未来的应用
Pub Date : 2021-09-01 DOI: 10.2217/3dp-2021-0008
Umar F Samdani, Steven W. Hwang
The revolutionary technology of 3D printing has gained traction in the medical field in recent years; spine surgery has in particular seen major advances in 3D printing. The applications of this technology have grown from utilizing 3D models to enhance patient education to patient specific, highly detailed intraoperative anatomical molds. However, obstacles remain that prevent the widespread utilization of 3D printing in spine surgery such as cost, time consumption, lack of long-term data, and regulation by the US FDA. Despite these obstacles, it is evident that 3D printing will be utilized to optimize preoperative, intraoperative, and postoperative care of patients with spine deformity. The purpose of this review is to establish the applications of 3D printing for spine surgery.
近年来,3D打印这一革命性技术在医疗领域受到了广泛关注;尤其是脊柱外科,3D打印技术取得了重大进展。这项技术的应用已经从利用3D模型来加强患者教育发展到患者特定的、高度详细的术中解剖模具。然而,阻碍3D打印在脊柱手术中广泛应用的障碍仍然存在,如成本、时间消耗、缺乏长期数据以及美国FDA的监管。尽管存在这些障碍,但很明显,3D打印将被用于优化脊柱畸形患者的术前、术中和术后护理。本文综述的目的是建立3D打印在脊柱外科中的应用。
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引用次数: 4
3D-printed dynamic heart models allow accurate prediction of cardiac complications by simulating hemodynamics 3d打印的动态心脏模型可以通过模拟血液动力学来准确预测心脏并发症
Pub Date : 2021-09-01 DOI: 10.2217/3dp-2021-0026
Zhonghua Sun
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引用次数: 0
Bespoke regulation for bespoke medicine? A comparative analysis of bioprinting regulation in Europe, the USA and Australia 定制药物的定制监管?欧洲、美国和澳大利亚生物打印法规的比较分析
Pub Date : 2021-09-01 DOI: 10.2217/3dp-2021-0011
Jane Nielsen, J. Kaldor, Adam Irwin, C. Stewart, D. Nicol
Like most health-technology innovators, bioprinters are required to traverse a complex landscape featuring varied forms of regulation. This article focuses on one of the most complex aspects: the requirement imposed by regulatory authorities to satisfy them of the safety, efficacy and clinical utility of resultant healthcare products. Satisfaction of such requirements can result in a significant lag between ‘breakthrough’ and clinical delivery. This article examines this aspect of regulation in the USA, Europe and Australia, three leading bioprinting research jurisdictions. In particular, it examines medical devices and medicines categories of regulation, questioning whether a new approach to regulation is required or whether existing product-based regimes are sufficiently adaptive.
像大多数卫生技术创新者一样,生物打印机需要穿越复杂的环境,其中包括各种形式的监管。本文重点关注最复杂的方面之一:监管机构为满足其对最终医疗保健产品的安全性、有效性和临床实用性的要求。满足这些要求可能导致“突破”和临床交付之间的重大滞后。本文考察了美国、欧洲和澳大利亚这三个领先的生物打印研究管辖区的这方面的监管。报告特别审查了医疗器械和药品类别的监管,质疑是否需要一种新的监管方法,或者现有的基于产品的制度是否具有足够的适应性。
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引用次数: 6
Automated fabrication of human skin substitutes: inherent advantages and fundamental challenges 人类皮肤替代品的自动化制造:固有优势和基本挑战
Pub Date : 2021-08-20 DOI: 10.2217/3dp-2021-0019
S. Boyce
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引用次数: 0
Evaluation of 3D-printer settings for producing personal protective equipment. 评估用于生产个人防护装备的3d打印机设置。
Pub Date : 2021-07-01 Epub Date: 2021-08-20 DOI: 10.2217/3dp-2021-0005
Carson Studders, Ian Fraser, Joshua W Giles, Stephanie M Willerth

Aim: COVID-19 resulted in a shortage of personal protective equipment. Community members united to 3D-print face shield headbands to support local healthcare workers. This study examined factors altering print time and strength. Materials & methods: Combinations of infill density (50%, 100%), shell thickness (0.8, 1.2 mm), line width (0.2 mm, 0.4 mm), and layer height (0.1 mm, 0.2 mm) were evaluated through tensile testing, finite element analysis, and printing time. Results: Strength increased with increased infill (p < 0.001) and shell thickness (p < 0.001). Layer height had no effect on strength. Increasing line width increased strength (p < 0.001). Discussion: Increasing layer height and line width decreased print time by 50 and 39%, respectively. Increased shell thickness did not alter print time. These changes are recommended for printing.

目的:新冠肺炎疫情导致个人防护装备短缺。社区成员联合使用3d打印面罩发带来支持当地医护人员。本研究考察了影响打印时间和强度的因素。材料和方法:通过拉伸测试、有限元分析和打印时间来评估填充密度(50%、100%)、外壳厚度(0.8、1.2 mm)、线宽(0.2 mm、0.4 mm)和层高(0.1 mm、0.2 mm)的组合。结果:强度随填充量的增加而增加(p)讨论:增加层高和线宽分别减少打印时间50%和39%。增加的外壳厚度不会改变打印时间。建议对打印进行这些更改。
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Journal of 3D printing in medicine
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