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At least 271 records · Page 15

Individualized Positron Emission Tomography–Based Isotoxic Accelerated Radiation Therapy Is Cost-Effective Compared With Conventional Radiation Therapy: A Model-Based Evaluation

Purpose: To evaluate long-term health effects, costs, and cost-effectiveness of positron emission tomography (PET)-based isotoxic accelerated radiation therapy treatment (PET-ART) compared with conventional fixed-dose CT-based radiation therapy treatment (CRT) in non-small cell lung cancer (NSCLC). Methods and Materials: Our analysis uses a validated decision model, based on data of 200 NSCLC patients with inoperable stage I-IIIB. Clinical outcomes, resource use, costs, and utilities were obtained from the Maastro Clinic and the literature. Primary model outcomes were the difference in life-years (LYs), quality-adjusted life-years (QALYs), costs, and the incremental cost-effectiveness and cost/utility ratio (ICER and ICUR) of PET-ART versus CRT. Model outcomes were obtained from averaging the predictions for 50,000 simulated patients. A probabilistic sensitivity analysis and scenario analyses were carried out. Results: The average incremental costs per patient of PET-ART were €569 (95% confidence interval [CI] €−5327-€6936) for 0.42 incremental LYs (95% CI 0.19-0.61) and 0.33 QALYs gained (95% CI 0.13-0.49). The base-case scenario resulted in an ICER of €1360 per LY gained and an ICUR of €1744 per QALY gained. The probabilistic analysis gave a 36% probability that PET-ART improves health outcomes at reduced costs and a 64% probability that PET-ART is more effective at slightly higher costs. Conclusion: On the basis of the available data, individualized PET-ART for NSCLC seems to be cost-effective compared with CRT.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Forecasting Day-Ahead Solar Irradiance for Puerto Rico Using the WRF Model and NSRDB

Accurately predicting solar energy resources is a major challenge in integrating photovoltaics generation on the electric grid. Numerical weather prediction has been recognized by the solar energy community as a major approach to provide solar resource forecasts at various locations and for a variety of timescales. In this study, as a part of the Puerto Rico Grid Resilience and Transitions to 100% Renewable Energy Study (PR100), we develop day-head solar irradiance forecast data using the Weather Research and Forecasting (WRF) model at 3 km and hourly/5-minute. The global horizontal irradiance (GHI) and direct normal irradiance (DNI) forecasts simulated from the WRF model are postprocessed by a simple optimization method using satellite-derived gridded observations from the National Solar Radiation Data Base (NSRDB) to reduce error and bias of the solar irradiance forecasts covering 2018-2020. The NSRDB contributes to improving the GHI and DNI forecasts and also offers the opportunity for an in-depth analysis to evaluate their accuracy over a wide range of Puerto Rico regions. Preliminary results show overall improvements of GHI forecasts up to 37% (DNI: 15%) for mean absolute error and 97% (DNI: 76%) for mean bias error by applying a postprocessing technique to WRF model output.

data models↗

Evidential Deep Learning for Probabilistic Modelling of Extreme Storm Events

Uncertainty quantification (UQ) methods play an important role in reducing errors in weather forecasting. Conventional approaches in UQ for weather forecasting rely on generating an ensemble of forecasts from physics-based simulations to estimate the uncertainty. However, it is computationally expensive to generate many forecasts to predict real-time extreme weather events. Evidential Deep Learning (EDL) is an uncertainty-aware deep learning approach designed to provide confidence about its predictions using only one forecast. It treats learning as an evidence acquisition process where more evidence is interpreted as increased predictive confidence. We apply EDL to storm forecasting using real-world weather datasets and compare its performance with traditional methods. Our findings indicate that EDL not only reduces computational overhead but also enhances predictive uncertainty. This method opens up novel opportunities in research areas such as climate risk assessment, where quantifying the uncertainty about future climate is crucial.

97 MATHEMATICS AND COMPUTING↗

A novel probabilistic regression model for electrical peak demand estimate of commercial and manufacturing buildings

Due to the high cost of electricity in commercial and industrial sectors, demand forecast models have gained increasing attention. However, there are two unresolved issues: (1) Models are not adaptable when exposed to previously unknown data (2) The value of regression methods vs. state-of-the-art machine learning models has not been made apparent before. This study’s goal is to develop probabilistic demand estimation models. Herein, we propose a probabilistic Bayesian regression framework that can not only estimate future demands with high accuracy but also be updated once new information is available. By applying the proposed algorithm to two real-world case studies (commercial and manufacturing), we show a 40.3% and 30.8% improvement in terms of mean absolute error for the two cases. Moreover, the proposed technique outperforms powerful machine learning approaches, including support vector machine by 10.39%, random forest by 6.17%, and multilayer perceptron by 9.14% in terms of mean absolute percentage error.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Full waveform inversion of solar interior flows

The inference of flows of material in the interior of the Sun is a subject of major interest in helioseismology. Here, we apply techniques of full waveform inversion (FWI) to synthetic data to test flow inversions. In this idealized setup, we do not model seismic realization noise, training the focus entirely on the problem of whether a chosen supergranulation flow model can be seismically recovered. We define the misfit functional as a sum of L {sub 2} norm deviations in travel times between prediction and observation, as measured using short-distance filtered f and p {sub 1} and large-distance unfiltered p modes. FWI allows for the introduction of measurements of choice and iteratively improving the background model, while monitoring the evolution of the misfit in all desired categories. Although the misfit is seen to uniformly reduce in all categories, convergence to the true model is very slow, possibly because it is trapped in a local minimum. The primary source of error is inaccurate depth localization, which, due to density stratification, leads to wrong ratios of horizontal and vertical flow velocities ({sup c}ross talk{sup )}. In the present formulation, the lack of sufficient temporal frequency and spatial resolution makes it difficult to accurately localize flow profiles at depth. We therefore suggest that the most efficient way to discover the global minimum is to perform a probabilistic forward search, involving calculating the misfit associated with a broad range of models (generated, for instance, by a Monte Carlo algorithm) and locating the deepest minimum. Such techniques possess the added advantage of being able to quantify model uncertainty as well as realization noise (data uncertainty).

79 ASTRONOMY AND ASTROPHYSICS↗

Estimating the Value of Improved Distributed Photovoltaic Adoption Forecasts for Utility Resource Planning

Misforecasting the adoption of customer-owned distributed photovoltaics (DPV) can have operational and financial implications for utilities - forecasting capabilities can be improved, but generally at a cost.This paper informs this decision-space by quantifying the costs of misforecasting across a wide range of DPV growth rates and misforecast severities. Using a simplified probabilistic method presented within, an analyst can make a first-order estimate of the financial benefit of improving a utility's forecasting capabilities, and thus be better informed about whether to make such an investment. For example, we show that a utility with 10 TWh per year of retail electric sales who initially estimates that the increase in DPV's contribution to total generation could range from 2 percent to 7.5 percent over the next 15 years could expect total present-value savings of approximately 4 million if they could keep the severity of successive five-year misforecasts within +/- 25 percent. We also have more general discussions about how misforecasting DPV impacts the buildout and operation of the bulk power system - for example, we observed that misforecasting DPV most strongly influenced the amount of utility-scale PV that gets built, due to the similarity in the energy and capacity services offered by the two solar technologies.

14 SOLAR ENERGY↗

Estimating the Value of Improved Distributed Photovoltaic Adoption Forecasts for Utility Resource Planning

Misforecasting the adoption of customer-owned distributed photovoltaics (DPV) can have operational and financial implications for utilities - forecasting capabilities can be improved, but generally at a cost. This paper informs this decision-space by quantifying the costs of misforecasting across a wide range of DPV growth rates and misforecast severities. Using a simplified probabilistic method presented within, an analyst can make a first-order estimate of the financial benefit of improving a utility's forecasting capabilities, and thus be better informed about whether to make such an investment. For example, we show that a utility with 10 TWh per year of retail electric sales who initially estimates that the increase in DPV's contribution to total generation could range from 2 to 7.5 percent over the next 15 years could expect total present-value savings of approximately 4 million dollars if they could keep the severity of successive five-year misforecasts within plus or minus 25 percent. We also have more general discussions about how misforecasting DPV impacts the buildout and operation of the bulk power system - for example, we observed that misforecasting DPV most strongly influenced the amount of utility-scale PV that gets built, due to the similarity in the energy and capacity services offered by the two solar technologies.

14 SOLAR ENERGY↗

A probabilistic graphical model approach to stochastic multiscale partial differential equations

We develop a probabilistic graphical model based methodology to efficiently perform uncertainty quantification in the presence of both stochastic input and multiple scales. Both the stochastic input and model responses are treated as random variables in this framework. Their relationships are modeled by graphical models which give explicit factorization of a high-dimensional joint probability distribution. The hyperparameters in the probabilistic model are learned using sequential Monte Carlo (SMC) method, which is superior to standard Markov chain Monte Carlo (MCMC) methods for multi-modal distributions. Finally, we make predictions from the probabilistic graphical model using the belief propagation algorithm. Numerical examples are presented to show the accuracy and efficiency of the predictive capability of the developed graphical model.

97 MATHEMATICS AND COMPUTING↗

Forecasting seasonal influenza with a state-space SIR model

Seasonal influenza is a serious public health and societal problem due to its consequences resulting from absenteeism, hospitalizations, and deaths. The overall burden of influenza is captured by the Centers for Disease Control and Prevention’s influenza-like illness network, which provides invaluable information about the current incidence. This information is used to provide decision support regarding prevention and response efforts. Despite the relatively rich surveillance data and the recurrent nature of seasonal influenza, forecasting the timing and intensity of seasonal influenza in the U.S. remains challenging because the form of the disease transmission process is uncertain, the disease dynamics are only partially observed, and the public health observations are noisy. Fitting a probabilistic state-space model motivated by a deterministic mathematical model [a susceptible-infectious-recovered (SIR) model] is a promising approach for forecasting seasonal influenza while simultaneously accounting for multiple sources of uncertainty. A significant finding of this work is the importance of thoughtfully specifying the prior, as results critically depend on its specification. Our conditionally specified prior allows us to exploit known relationships between latent SIR initial conditions and parameters and functions of surveillance data. We demonstrate advantages of our approach relative to alternatives via a forecasting comparison using several forecast accuracy metrics.

60 APPLIED LIFE SCIENCES↗

Impact of parametric uncertainty on estimation of the energy deposition into an irradiated brain tumor

Predictions of the total energy deposited into a brain tumor through X-ray irradiation are notoriously error-prone. We investigate how this predictive uncertainty is affected by uncertainty in both the location of the region occupied by a dose-enhancing iodinated contrast agent and the agent's concentration. This is done within the probabilistic framework in which these uncertain parameters are modeled as random variables. We employ the stochastic collocation (SC) method to estimate statistical moments of the deposited energy in terms of statistical moments of the random inputs, and the global sensitivity analysis (GSA) to quantify the relative importance of uncertainty in these parameters on the overall predictive uncertainty. A nonlinear radiation–diffusion equation dramatically magnifies the coefficient of variation of the uncertain parameters, yielding a large coefficient of variation for the predicted energy deposition. This demonstrates that accurate prediction of the energy deposition requires a proper treatment of even small parametric uncertainty. Our analysis also reveals that SC outperforms standard Monte Carlo, but its relative efficiency decreases as the number of uncertain parameters increases from one to three. A robust GSA ameliorates this problem by reducing this number.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Probabilistic Machine Learning and Data Assimilation

This white paper responds to Focal Area 1. The associated portfolio of research activities is well-suited to DOE’s asset mix of HPC platforms, climate expertise, climate simulation codes, and AI expertise, which creates an opportunity to use manifold-finding probabilistic AI methods to create more powerful data assimilation techniques that increase the fidelity and forecasting skill of Earth System Prediction.

54 ENVIRONMENTAL SCIENCES↗

Efficient Probabilistic Prediction and Uncertainty Quantification of Tropical Cyclone–Driven Storm Tides and Inundation

Abstract This study proposes and assesses a methodology to obtain high-quality probabilistic predictions and uncertainty information of near-landfall tropical cyclone–driven (TC-driven) storm tide and inundation with limited time and resources. Forecasts of TC track, intensity, and size are perturbed according to quasi-random Korobov sequences of historical forecast errors with assumed Gaussian and uniform statistical distributions. These perturbations are run in an ensemble of hydrodynamic storm tide model simulations. The resulting set of maximum water surface elevations are dimensionality reduced using Karhunen–Loève expansions and then used as a training set to develop a polynomial chaos (PC) surrogate model from which global sensitivities and probabilistic predictions can be extracted. The maximum water surface elevation is extrapolated over dry points incorporating energy head loss with distance to properly train the surrogate for predicting inundation. We find that the surrogate constructed with third-order PCs using elastic net penalized regression with leave-one-out cross validation provides the most robust fit across training and test sets. Probabilistic predictions of maximum water surface elevation and inundation area by the surrogate model at 48-h lead time for three past U.S. landfalling hurricanes (Irma in 2017, Florence in 2018, and Laura in 2020) are found to be reliable when compared to best track hindcast simulation results, even when trained with as few as 19 samples. The maximum water surface elevation is most sensitive to perpendicular track-offset errors for all three storms. Laura is also highly sensitive to storm size and has the least reliable prediction. Significance Statement The purpose of this study is to develop and evaluate a methodology that can be used to provide high-quality probabilistic predictions of hurricane-induced storm tide and inundation with limited time and resources. This is important for emergency management purposes during or after the landfall of hurricanes. Our results show that sampling forecast errors using quasi-random sequences combined with machine learning techniques that fit polynomial functions to the data are well suited to this task. The polynomial functions also have the benefit of producing exact sensitivity indices of storm tide and inundation to the forecasted hurricane properties such as path, intensity, and size, which can be used for uncertainty estimation. The code implementing the presented methodology is publicly available on GitHub.

54 ENVIRONMENTAL SCIENCES↗

Uncertainty-Informed Operation Coordination in a Water-Energy Nexus

The widespread deployment of smart heterogeneous technologies and the growing complexity in our modern society calls for effective coordination of the interdependent lifeline networks. In particular, operation coordination of electric power and water infrastructures is urgently needed as the water system is one of the most energy-intensive networks, an interruption in which may quickly evolve into a dramatic societal concern. This paper develops a novel analytic for uncertainty-aware day-ahead operation optimization of the interconnected power and water systems (PaWS). Joint probabilistic constraint (JPC) programming is employed to capture the uncertainties in wind resources and water demand forecasts. The proposed integrated stochastic model is presented as a non-linear non-convex optimization problem, where the non-linear hydraulic constraints in the water network are linearized using piece-wise linearization technique, and the non-convexity is efficiently tackled with a solution methodology to convert the proposed model with JPCs to a tractable mixed-integer linear programming (MILP) formulation that can be quickly solved to optimality. Here, the suggested framework is applied to a 15-node commercial-scale water network jointly operated with a power transmission system using a modified IEEE 57-bus test system. The numerical results demonstrate the of the proposed stochastic framework, resulting in cost reduction (13% on average when compared to the traditional setting) and energy saving of the integrated model under different realizations of uncertain renewable energy sources (RESs) and water demand scenarios. Additionally, the scalability of the proposed model is tested on a modified IEEE 118-bus test system connected to five water networks.

24 POWER TRANSMISSION AND DISTRIBUTION↗

How New Mexico Leveraged a COVID-19 Case Forecasting Model to Preemptively Address the Healthcare Needs of the State: Quantitative Analysis

Prior to the COVID-19 pandemic, US hospitals relied on static projections of future trends for long-term planning and were only beginning to consider forecasting methods for short-term planning of staffing and other resources. With the overwhelming burden imposed by COVID-19 on the health care system, an emergent need exists to accurately forecast hospitalization needs within an actionable timeframe. Our goal was to leverage an existing COVID-19 case and death forecasting tool to generate the expected number of concurrent hospitalizations, occupied intensive care unit (ICU) beds, and in-use ventilators 1 day to 4 weeks in the future for New Mexico and each of its five health regions. We developed a probabilistic model that took as input the number of new COVID-19 cases for New Mexico from Los Alamos National Laboratory’s COVID-19 Forecasts Using Fast Evaluations and Estimation tool, and we used the model to estimate the number of new daily hospital admissions 4 weeks into the future based on current statewide hospitalization rates. The model estimated the number of new admissions that would require an ICU bed or use of a ventilator and then projected the individual lengths of hospital stays based on the resource need. By tracking the lengths of stay through time, we captured the projected simultaneous need for inpatient beds, ICU beds, and ventilators. We used a postprocessing method to adjust the forecasts based on the differences between prior forecasts and the subsequent observed data. Thus, we ensured that our forecasts could reflect a dynamically changing situation on the ground. Forecasts made between September 1 and December 9, 2020, showed variable accuracy across time, health care resource needs, and forecast horizon. Forecasts made in October, when new COVID-19 cases were steadily increasing, had an average accuracy error of 20.0%, while the error in forecasts made in September, a month with low COVID-19 activity, was 39.7%. Across health care use categories, state-level forecasts were more accurate than those at the regional level. Although the accuracy declined as the forecast was projected further into the future, the stated uncertainty of the prediction improved. Forecasts were within 5% of their stated uncertainty at the 50% and 90% prediction intervals at the 3- to 4-week forecast horizon for state-level inpatient and ICU needs. However, uncertainty intervals were too narrow for forecasts of state-level ventilator need and all regional health care resource needs. Real-time forecasting of the burden imposed by a spreading infectious disease is a crucial component of decision support during a public health emergency. Our proposed methodology demonstrated utility in providing near-term forecasts, particularly at the state level. This tool can aid other stakeholders as they face COVID-19 population impacts now and in the future.

60 APPLIED LIFE SCIENCES↗

Framework for Probabilistic Projections of Energy-Relevant Streamflow Indicators under Climate Change Scenarios for the U.S.

This project focuses on uncertainty in streamflow forecasting under climate change conditions. The objective is to develop easy to use methodologies that can be applied across a range of river basins to estimate changes in water availability for realistic projections of climate change. There are three major components to the project: Empirical downscaling of regional climate change projections from a range of Global Climate Models; Developing a methodology to use present day information on the climate controls on the parameterizations in streamflow models to adjust the parameterizations under future climate conditions (a trading-space-for-time approach); and Demonstrating a bottom-up approach to establishing streamflow vulnerabilities to climate change. The results reinforce the need for downscaling of climate data for regional applications, and further demonstrates the challenges of using raw GCM data to make local projections. In addition, it reinforces the need to make projections across a range of global climate models. The project demonstrates the potential for improving streamflow forecasts by using model parameters that are adjusted for future climate conditions, but suggests that even with improved streamflow models and reduced climate uncertainty through the use of downscaled data, there is still large uncertainty is the streamflow projections. The most useful output from the project is the bottom-up vulnerability driven approach to examining possible climate and land use change impacts on streamflow. Here, we demonstrate an inexpensive and easy to apply methodology that uses Classification and Regression Trees (CART) to define the climate and environmental parameters space that can produce vulnerabilities in the system, and then feeds in the downscaled projections to determine the probability top transitioning to a vulnerable sate. Vulnerabilities, in this case, are defined by the end user.

54 ENVIRONMENTAL SCIENCES↗

Bayesian Neural Networks for Uncertainty Analysis of Hydrologic Modeling: A Comparison of Two Schemes

Bayesian Neural Networks (BNNs) have been shown as useful tools to analyze modeling uncertainty of Neural Networks (NNs). This research focuses on the comparison of two BNNs. The first BNNs (BNN-I) use statistical methods to describe the characteristics of different uncertainty sources (input, parameter, and model structure) and integrate these uncertainties into a Markov Chain Monte Carlo (MCMC) framework to estimate total uncertainty. The second BNNs (BNN-II) lump all uncertainties into a single error term (i.e. the residual between model prediction and measurement). In this study, we propose a simple BNN-II, which use Genetic Algorithms (GA) and Bayesian Model Averaging (BMA) to calibrate Neural Networks with different structures (number of hidden units) and combine the predictions from different NNs to derive predictions and uncertainty analysis. We tested these two BNNs in two watersheds for daily and monthly hydrologic simulation. The BMA based BNNs developed in this study outperforms BNN-I in the two watersheds in terms of both accurate prediction and uncertainty estimation. These results show that, given incomplete understanding of the characteristics associated with each uncertainty source, the simple lumped error approach may yield better prediction and uncertainty estimation.

99 GENERAL AND MISCELLANEOUS↗

Integrated Medical Model Verification, Validation, and Credibility

The Integrated Medical Model (IMM) was designed to forecast relative changes for a specified set of crew health and mission success risk metrics by using a probabilistic (stochastic process) model based on historical data, cohort data, and subject matter expert opinion. A probabilistic approach is taken since exact (deterministic) results would not appropriately reflect the uncertainty in the IMM inputs. Once the IMM was conceptualized, a plan was needed to rigorously assess input information, framework and code, and output results of the IMM, and ensure that end user requests and requirements were considered during all stages of model development and implementation. METHODS: In 2008, the IMM team developed a comprehensive verification and validation (VV) plan, which specified internal and external review criteria encompassing 1) verification of data and IMM structure to ensure proper implementation of the IMM, 2) several validation techniques to confirm that the simulation capability of the IMM appropriately represents occurrences and consequences of medical conditions during space missions, and 3) credibility processes to develop user confidence in the information derived from the IMM. When the NASA-STD-7009 (7009) was published, the IMM team updated their verification, validation, and credibility (VVC) project plan to meet 7009 requirements and include 7009 tools in reporting VVC status of the IMM. RESULTS: IMM VVC updates are compiled recurrently and include 7009 Compliance and Credibility matrices, IMM VV Plan status, and a synopsis of any changes or updates to the IMM during the reporting period. Reporting tools have evolved over the lifetime of the IMM project to better communicate VVC status. This has included refining original 7009 methodology with augmentation from the NASA-STD-7009 Guidance Document. End user requests and requirements are being satisfied as evidenced by ISS Program acceptance of IMM risk forecasts, transition to an operational model and simulation tool, and completion of service requests from a broad end user consortium including Operations, Science and Technology Planning, and Exploration Planning. CONCLUSIONS: The VVC approach established by the IMM project of combining the IMM VV Plan with 7009 requirements is comprehensive and includes the involvement of end users at every stage in IMM evolution. Methods and techniques used to quantify the VVC status of the IMM have not only received approval from the local NASA community but have also garnered recognition by other federal agencies seeking to develop similar guidelines in the medical modeling community.

Validation↗

Integrated Medical Model (IMM) Project Verification, Validation, and Credibility (VVandC)

The Integrated Medical Model (IMM) Project supports end user requests by employing the Integrated Medical Evidence Database (iMED) and IMM tools as well as subject matter expertise within the Project. The iMED houses data used by the IMM. The IMM is designed to forecast relative changes for a specified set of crew health and mission success risk metrics by using a probabilistic model based on historical data, cohort data, and subject matter expert opinion. A stochastic approach is taken because deterministic results would not appropriately reflect the uncertainty in the IMM inputs. Once the IMM was conceptualized, a plan was needed to rigorously assess input information, framework and code, and output results of the IMM, and ensure that end user requests and requirements were considered during all stages of model development and implementation, as well as lay the foundation for external review and application. METHODS: In 2008, the Project team developed a comprehensive verification and validation (VV) plan, which specified internal and external review criteria encompassing 1) verification of data and IMM structure to ensure proper implementation of the IMM, 2) several validation techniques to confirm that the simulation capability of the IMM appropriately represents occurrences and consequences of medical conditions during space missions, and 3) credibility processes to develop user confidence in the information derived from the IMM. When the NASA-STD-7009 (7009) [1] was published, the Project team updated their verification, validation, and credibility (VVC) project plan to meet 7009 requirements and include 7009 tools in reporting VVC status of the IMM. Construction of these tools included meeting documentation and evidence requirements sufficient to meet external review success criteria. RESULTS: IMM Project VVC updates are compiled recurrently and include updates to the 7009 Compliance and Credibility matrices. Reporting tools have evolved over the lifetime of the IMM Project to better communicate VVC status. This has included refining original 7009 methodology with augmentation from the HRP NASA-STD-7009 Guidance Document working group and the NASA-HDBK-7009 [2]. End user requests and requirements are being satisfied as evidenced by ISS Program acceptance of IMM risk forecasts, transition to an operational model and simulation tool, and completion of service requests from a broad end user consortium including operations, science and technology planning, and exploration planning. IMM v4.0 is slated for operational release in the FY015 and current VVC assessments illustrate the expected VVC status prior to the completion of customer lead external review efforts. CONCLUSIONS: The VVC approach established by the IMM Project of incorporating Project-specific recommended practices and guidelines for implementing the 7009 requirements is comprehensive and includes the involvement of end users at every stage in IMM evolution. Methods and techniques used to quantify the VVC status of the IMM Project represented a critical communication tool in providing clear and concise suitability assessments to IMM customers. These processes have not only received approval from the local NASA community but have also garnered recognition by other federal agencies seeking to develop similar guidelines in the medical modeling community.

Walton, M.↗