Today's Practice: Changing the Business of Medicine TP2018Q2DigitalEditionWeb | Page 92

T E CHNOL OGY Engineering the Future So what is bioprinting? It involves recreating the 3D structure of a tissue using a fabrication technique wherein a computer program builds a structure layer-by-layer using biocompatible materials (or bioinks) and cells. These bioinks are designed to mimic the architecture of the extracellular matrix in which cells are suspended to aid in their specific differentiation. Additionally, cells themselves can be incorporated into these constructs. Madeline Winter It should come as no surprise that geometry matters within biology. Signaling pathways activated in 2D are very different from 3D and cells on a petri dish do not accurately represent features and functionality of the human body. It’s time we added another dimension to the study of biology. You can start imagining building a complex organ step-by-step using the 3D images, such as those from MRI and CT scans, native cells from a patient, and biologically compatible materials. This technology is still in its nascense and is currently only used in research settings but we are beginning to see the excit- ing early developments that will lead to life changing clinical applications. How is bioprinting technology used today? Create Custom Bone and Cartilage Grafts How many of us have titanium hips and screws in our joints? By under- standing the specific defect size, through either MRI or CT, and combining 3D bioprinting with the correct, advanced biomate- rial, a surgeon will one day make a 3D printed structure in the shape of the patient’s bone void and implant that structure, 91 TODAY ’ S P R A C T I C E: C H A N G I N G T H E B US I NES S OF M EDI C I NE