AMINO AMSA-Indonesia EAMSC 2016 | страница 44

RESULTS AND DISCUSSION 3D Bioprinting Tissue Engineering Era in Medicine Technology Three-dimensional (3D) bioprinting is a revolutionary tissue engineering method in which objects are made by fusing or depositing materials such as non-organic materials or even living cells in layers to produce a 3D object. The ability to design and fabricate complex, 3D biomedical devices is critical in tissue engineering. Applications for 3D biomedical devices are restoration of 3D anatomic defects, the reconstruction of complex organs with intricate 3D microarchitecture (e.g. liver, lymphoid organs), and scaffolds for stem cell differentiation (Badylak et al., 2011). An example of a need is anatomic defects in the bone and soft tissue organs complex caused by cancer, trauma, and congenital defects. Proper restoration of these defects requires functional nerves, vessels, muscles, ligaments, cartilage, bone, lymph nodes and glands (Almond et al., 2012). In recent years, various approaches based on tissue engineering principles have been explored to regenerate other functional tissues that are relevant to organ tissue regeneration. In tissue engineering, scaffolds are critical to provide structure for cell infiltration and proliferation, space for extracellular matrix generation and remodeling, biochemical cues to direct cell behavior, and physical connections for injured tissue. When making scaffolds, design of the architecture on the macro, micro, and nano level is important for structural, nutrient transport, and cell-matrix interaction conditions. Solid free form fabrication (SFF) has allowed for the design and fabrication of complex 3D structures which can be patient specific. The integration of computer aided design, advanced imaging techniques (i.e. magnetic resonance imaging and computer tomography), and rapid prototyping has advanced fabrication of objects with both macro and microarchitecture control (Crapo et al., 2011). Medical applications for 3D printing are expanding rapidly and are expected to revolutionize healthcare. Medical uses for 3D printing, both actual and potential, can be organized into several broad categories, including tissue and organ fabrication, creation of customized prosthetics and anatomical models, pharmaceutical research regarding drug dosage forms, and organ transplantation. The application of 3D printing in medicine can provide many benefits including the customization and personalization of medical drugs and equipment, time and cost-effectiveness and increased productivity for mass production. The potential of 3D printing in medicine is limitless and yet still unexplorable (Almond et al., 2012). 4