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Analysis of the Robotic-Based In Situ Bioprinting Workflow for the Regeneration of Damaged Tissues through a Case Study.

作者信息

Fortunato Gabriele Maria, Sigismondi Sofia, Nicoletta Matteo, Condino Sara, Montemurro Nicola, Vozzi Giovanni, Ferrari Vincenzo, De Maria Carmelo

机构信息

Department of Information Engineering, University of Pisa, 56126 Pisa, Italy.

Research Centre "E. Piaggio", University of Pisa, 56126 Pisa, Italy.

出版信息

Bioengineering (Basel). 2023 May 8;10(5):560. doi: 10.3390/bioengineering10050560.


DOI:10.3390/bioengineering10050560
PMID:37237631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10215654/
Abstract

This study aims to critically analyse the workflow of the in situ bioprinting procedure, presenting a simulated neurosurgical case study, based on a real traumatic event, for collecting quantitative data in support of this innovative approach. After a traumatic event involving the head, bone fragments may have to be removed and a replacement implant placed through a highly demanding surgical procedure in terms of surgeon dexterity. A promising alternative to the current surgical technique is the use of a robotic arm to deposit the biomaterials directly onto the damaged site of the patient following a planned curved surface, which can be designed pre-operatively. Here we achieved an accurate planning-patient registration through pre-operative fiducial markers positioned around the surgical area, reconstructed starting from computed tomography images. Exploiting the availability of multiple degrees of freedom for the regeneration of complex and also overhanging parts typical of anatomical defects, in this work the robotic platform IMAGObot was used to regenerate a cranial defect on a patient-specific phantom. The in situ bioprinting process was then successfully performed showing the great potential of this innovative technology in the field of cranial surgery. In particular, the accuracy of the deposition process was quantified, as well as the duration of the whole procedure was compared to a standard surgical practice. Further investigations include a biological characterisation over time of the printed construct as well as an in vitro and in vivo analysis of the proposed approach, to better analyse the biomaterial performances in terms of osteo-integration with the native tissue.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/ea53dff10fb7/bioengineering-10-00560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/1a896740e718/bioengineering-10-00560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/95e92b89fcf4/bioengineering-10-00560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/017cd54e21de/bioengineering-10-00560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/e99f947bf608/bioengineering-10-00560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/cb6f87186ab4/bioengineering-10-00560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/ea53dff10fb7/bioengineering-10-00560-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/1a896740e718/bioengineering-10-00560-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/95e92b89fcf4/bioengineering-10-00560-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/017cd54e21de/bioengineering-10-00560-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/e99f947bf608/bioengineering-10-00560-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/cb6f87186ab4/bioengineering-10-00560-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d109/10215654/ea53dff10fb7/bioengineering-10-00560-g006.jpg

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Analysis of the Robotic-Based In Situ Bioprinting Workflow for the Regeneration of Damaged Tissues through a Case Study.

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[10]
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本文引用的文献

[1]
Controlled Co-delivery of pPDGF-B and pBMP-2 from intraoperatively bioprinted bone constructs improves the repair of calvarial defects in rats.

Biomaterials. 2022-2

[2]
Intra-Operative Bioprinting of Hard, Soft, and Hard/Soft Composite Tissues for Craniomaxillofacial Reconstruction.

Adv Funct Mater. 2021-7-16

[3]
In situ printing of scaffolds for reconstruction of bone defects.

Acta Biomater. 2021-6

[4]
3D bioprinting and craniofacial regeneration.

J Oral Biol Craniofac Res. 2020

[5]
Intraoperative Bioprinting: Repairing Tissues and Organs in a Surgical Setting.

Trends Biotechnol. 2020-6

[6]
Endothelial cells support osteogenesis in an in vitro vascularized bone model developed by 3D bioprinting.

Biofabrication. 2020-2-19

[7]
In situ bioprinting - Bioprinting from benchside to bedside?

Acta Biomater. 2019-8-30

[8]
In situ prevascularization designed by laser-assisted bioprinting: effect on bone regeneration.

Biofabrication. 2019-7-3

[9]
In situ three-dimensional printing for reparative and regenerative therapy.

Biomed Microdevices. 2019-4-6

[10]
Evaluation of sterilisation methods for bio-ink components: gelatin, gelatin methacryloyl, hyaluronic acid and hyaluronic acid methacryloyl.

Biofabrication. 2019-4-3

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