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NASA NTRS2024

ISS Technology Demonstrations for Future Spaceflight Medical Systems

Throughout the history of human spaceflight, crewmembers have experienced various in-flight medical conditions including illness and injury. Planned missions to the Moon and Mars will require capabilities to maintain the health of future space travelers. Mass, power, and volume available in the vehicles and habitats for these missions will be severely constrained; resupply of resources will be limited or non-existent, as will opportunities for evacuation to Earth. Furthermore, ground-based support will be hampered by communication latencies and blackouts. These vehicle and mission constraints will necessitate a medical system that has been efficiently planned, providing on-board procedural guidance in addition to a variety of medical devices and consumable resources. Medical capabilities required for the diagnosis and treatment of potential medical conditions during future spaceflight missions may include real-time health monitoring, medical imaging, and biomarker analyses ( e.g., blood or urine). Terrestrial medicine shares these needs, thus many of these medical capabilities could likely be satisfied by Commercial-Off-The-Shelf (COTS) devices and methodologies; however, in some cases the unique space environment and increased mission duration will drive the need to modify technologies and the way care is provided. NASA’s Human Research Program (HRP) Exploration Medical Capability (ExMC) Element and Mars Campaign Office’s Exploration Medical Integrated Product Team (XMIPT) are working together to decrease medical risk during exploration missions. Flight-tested medical diagnostic and treatment technologies are necessary to effectively manage medical conditions relevant to exploration missions while meeting vehicle constraints, integrating with medical decision-support tools, and enabling increasingly Earth-independent operations. Several projects have leveraged the ISS as a testbed for exploration, including 1) i n- situ blood analysis, 2) medical inventory, 3) intravenous fluid generation, and 4) autonomous medical procedure guidance. Management of several in-flight medical conditions, such as bacterial and viral infections and acute radiation syndrome, is dramatically improved with ability to assess blood cell populations, electrolytes, and metabolites. I n December 2020 and January 2021 ExMC performed an ISS technology demonstration (Tech Demo) of the HemoCue® WBC DIFF analyzer (HemoCue, Brea, CA), a COTS device that was modified to enable functionality in a spaceflight environment. This Tech Demo marked the first time that hematology measurements were successfully performed real-time in microgravity. Also modified and demonstrated was the reusable Handheld Electrolytes and Lab Technology for Humans (rHEALTH) ONE analyzer (rHEALTH, Bedford, MA), which uses flow cytometry and sheath-based hydrodynamic focusing methodologies. The rHEALTH ONE ISS Tech Demo in May 2022 demonstrated test results obtained in-flight matched those on the ground. NASA currently relies on crew self-reporting to manage and maintain medical inventory on ISS.The ability to maintain an accurate inventory becomes more critical during long duration missions since the crew will need to be increasingly autonomous in finding and utilizing medical items, including those scenarios when alternative treatments need to be considered due to limited or no resupply. HRP’s Medical Consumables Tracking (MCT) project was developed by ZIN Technologies, Inc. (Cleveland, OH), and demonstrated real-time tracking of medical supplies aboard the ISS between December 2016 and July 2018. The MCT system design utilized Radio Frequency Identification Device (RFID) technology to perform automated inventory and was installed in the Crew Health Care System (CHeCS) Resupply Stowage Rack (RSR). The challenge of limited shelf life, exacerbated by the lack of resupply opportunities, affects a plethora of medical system components including consumables, pharmaceuticals, and intravenous (IV) fluid. In 2010, ExMC funded ZIN Technologies, Inc. (Cleveland, OH), to develop the Intravenous Fluid Generation (IVGEN) system. IV fluids were successfully generated with IVGEN using the potable water supply on ISS during ISS Expedition 23. The XMIPT is in the process of developing a miniaturized version of the original IVGEN hardware for a future Tech Demo aboard the ISS. Current ISS medical operations rely heavily on preflight training and real-time remote guidance, both of which become impractical or impossible for exploration missions. The primary goal of the Autonomous Medical Officer Support (AMOS) Software Tech Demos on ISS was to confirm telemedical proof-of-concept for autonomous medical imaging in an operational setting. This novel software tool shifts emphasis from preflight training and real-time remote guidance to in-flight just-in-time instruction, a new and necessary paradigm for crew medical autonomy. AMOS introduces a novel, streamlined skill management concept for exploration missions featuring comprehensive training and guidance modules for ultrasound examinations using the ISS Ultrasound 2 (a modified GE Vivid-q™; General Electric HealthCare, Chicago, IL). With no prior crew training or remote guidance, two Tech Demos on the ISS (April 2020 and June 2022) resulted in high quality, clinically useful image sets. We will provide a review of historical, current, and planned medical devices and technologies considered for inclusion within future spaceflight medical systems and summarize hardware development activities and medical device tech demos conducted on the ISS.

Astronaut health and performance↗
NASA NTRSDate not supplied

Identification and Development of Coordination Procedures Between Upper Class E Traffic Management (ETM) and Surrounding Air Traffic Operations

A recent interest in novel, non-traditional vehicles / missions that plan to operate in Upper Class E (UCE) airspace at or above 60,000 ft has led to efforts by NASA, FAA and the stakeholder communities to research and develop a new concept called Upper Class E Traffic Management (ETM). ETM concept proposes to handle the influx of diverse traffic mix around FL600 and above, utilizing a new traffic management infrastructure, supported by federated service suppliers that are developed by the community stakeholders, for coordinating, monitoring, and executing vehicle operational intent in a designated airspace called ETM Cooperative Area (CA). ETM vehicles are generally expected to reach and operate in ETM CA by first transiting through Class A airspace and potentially through UCE airspace that sits outside of ETM CA. In this paper, a set of use cases have been identified and step-by-step procedures have been developed to handle nominal transitions of ETM vehicles between these operational areas, as well as additional use cases and procedures for authorization and termination of ETM CAs in Class A and/or UCE airspace. The overall research effort in this paper has revealed potential challenges and open questions related to these use cases, especially for the interactions between ETM CA and UCE in both vehicle transition and ETM CA authorization scenarios. The use cases and procedures developed in this paper will inform future ETM integration efforts, as well as research and development into decision support tools needed for the integration.

Upper Class E Traffic Management (ETM)↗
NASA NTRSDate not supplied

Towards Sustainable Aviation With Efficient Airspace Operations

In November 2021, the Federal Aviation Administration published the United States Aviation Climate Action Plan to accelerate innovation across the U.S. aviation ecosystem. In response, NASA has established the Sustainable Flight National Partnership to engage with industry, academia, and other agencies to accomplish net-zero carbon emissions by 2050. As part of the SFNP Mission, NASA is conducting a series of real world operational demonstrations in the current National Airspace System with a focus on delivering real world sustainability benefits. This paper presents the current work and future plan for the SFNP Ops Demo Series and describes the cloud based infrastructure used for virtual deployment of decision support tools to flight operators and Air Traffic Controllers to help improve operational efficiency of the National Airspace System. Validation results are shared along with the key sustainability benefits such as jet fuel savings and reduction in CO2 emissions. The operational efficiency metrics such as delay savings are also reported.

Sustainable Flight National Partnership↗
NASA NTRS2025

Evaluating the Viability of Compact and Portable X-Ray Systems for an Exploration Medical System in a Ground Demonstration

MOTIVATION FOR INCLUDING X-RAY CAPABILITIES For upcoming exploration missions, the need for enhanced medical care becomes critical due to extended mission durations, significant communication delays, and minimal evacuation opportunities. Previous evidence by our team has revealed that among the 119 medical conditions targeted for management during spaceflight within NASA Exploration Medical Capability’s IMPACT Condition List, at least 36 could benefit from radiography (XR). Utilizing XR for diagnosis and management is hypothesized to significantly improve management of crew health by enabling the immediate evaluation and confirmation of potential injuries or illnesses. Beyond clinical applications, XR also holds potential for non-destructive testing (NDT). This includes applications such as assessing the structural integrity of the spacecraft, analyzing surface and meteorite samples, and inspecting onboard electronics. THREE CANDIDATE X-RAY SYSTEMS CHOSEN FOR GROUND DEMONSTRATION The Exploration Medical Capability Element (ExMC) and the Exploration Medical Integrated Product Team (XMIPT) of the Mars Campaign Office initiated early background work for ground demonstrations. In FY21, ExMC published a Concept of Operations to guide requirements development. By FY23, XMIPT and yet2, a technology scouting and open innovation consulting firm, had completed a market survey and trade study to identify potential miniature XR systems. Selection criteria included commercial-off-the-shelf availability, low mass and volume, and regulatory compliance. The top three candidate devices—Remedi REMEX-KA6, MinXray Impact, and FujiFilm Xair—were acquired to characterize the requirements and capabilities of each device. To facilitate testing, phantoms, and radiographic personal protective equipment (PPE) were purchased, and a dedicated space was designated for XRS usage at Glenn Research Center. During this presentation, the mass, volume, and power requirements for each of the three piloted devices are revealed, as well as information regarding the detector, mA, and kV of the devices. GOAL AND OBJECTIVES OF A MINI XRS GROUND DEMONSTRATION The primary goal of ExMC/XMIPT technology demonstrations is to bridge the gap in available, flight-ready medical device technology by flight-testing diagnostic and treatment technologies essential for managing medical conditions during exploration missions. These technologies must adhere to vehicle constraints such as mass, volume, power, and data requirements, integrate seamlessly with medical decision-support tools, and support increasingly Earth-independent operations. There are three main objectives for the future ground demonstration of these three devices. First, we aim to determine the full capabilities of these three miniature XR systems within the context of the spaceflight environment. While medical applications are the primary focus for the miniature XR, a comprehensive exploration of non-medical uses has been initiated by an XMIPT-sponsored NASA SPARK campaign to identify collaborators. Second, we plan to establish criteria and to use insights gained from evaluating each miniature XR against those criteria to select the most suitable system among the three candidates. Third, we intend to evaluate their suitability for flight certification, which includes assessing its durability for launch, reentry, and exposure to high background radiation, as well as its compatibility with existing data architecture systems. Numerous subject matter experts from NASA and partner institutions will support these objectives.

C A Haddix↗
NASA NTRS2006

Decision Support Methods and Tools

This paper is one of a set of papers, developed simultaneously and presented within a single conference session, that are intended to highlight systems analysis and design capabilities within the Systems Analysis and Concepts Directorate (SACD) of the National Aeronautics and Space Administration (NASA) Langley Research Center (LaRC). This paper focuses on the specific capabilities of uncertainty/risk analysis, quantification, propagation, decomposition, and management, robust/reliability design methods, and extensions of these capabilities into decision analysis methods within SACD. These disciplines are discussed together herein under the name of Decision Support Methods and Tools. Several examples are discussed which highlight the application of these methods within current or recent aerospace research at the NASA LaRC. Where applicable, commercially available, or government developed software tools are also discussed

Green, Lawrence L.↗
NASA NTRSDate not supplied

Applying Machine Learning Tools for Runway Configuration Decision Support

Determining optimal runway configurations at airports, a responsibility assigned to air traffic controllers, is a challenging task. The decision-making process is intricate and involves consideration of many factors such as prevailing wind condition, convective weather, visibility, cloud ceilings, departure and arrival demand, traffic flow, equipment status, and other airport constraints. In a previous work, we developed a Runway Configuration Assistance tool using an offline reinforcement learning method called conservative Q-learning. In this paper, we evaluate and validate our Runway Configuration Assistance tool as a decision support for air traffic controllers. We validated our tool using three airports with differing levels of complexity: Charlotte Douglas International Airport, Denver International Airport, and Dallas Fort Worth International Airport. We quantified the performance of the Runway Configuration Assistance tool based on (1) agreement with historical air traffic controller decisions and (2) violation of decisions that would be obvious to subject-matter experts. Our tool showed promising results in both performance metrics for the three airports, despite the complexities in the runway configuration decision-making process. We also discuss challenges in using machine learning in general to aid air traffic management and identify deployment considerations for the Runway Configuration Assistance tool.

Runway Configuration Management↗
NASA NTRSDate not supplied

Machine Learning Tools for Runway Configuration Decision Support

Determining optimal runway configurations at airports, a responsibility assigned to air traffic controllers, is a challenging task. The decision-making process is intricate and involves consideration of many factors such as prevailing wind condition, convective weather, visibility, cloud ceilings, departure and arrival demand, traffic flow, equipment status, and other airport constraints. In a previous work, we developed a Runway Configuration Assistance tool using an offline reinforcement learning method called conservative Q-learning. In this paper, we evaluate and validate our Runway Configuration Assistance tool as a decision support for air traffic controllers. We validated our tool using three airports with differing levels of complexity: Charlotte Douglas International Airport, Denver International Airport, and Dallas Fort Worth International Airport. We quantified the performance of the Runway Configuration Assistance tool based on (1) agreement with historical air traffic controller decisions and (2) violation of decisions that would be obvious to subject-matter experts. Our tool showed promising results in both performance metrics for the three airports, despite the complexities in the runway configuration decision-making process. We also discuss challenges in using machine learning in general to aid air traffic management and identify deployment considerations for the Runway Configuration Assistance tool.

Runway Configuration Management↗
NASA NTRSDate not supplied

Market Survey 2020: Commercial Clinical Decision Support Systems and Wellness Tools

For long-duration, deep space exploration missions, current methods for managing and supporting crew health and medical conditions will be unsuitable. Communication and data transmission lags will necessitate the use of a sophisticated clinical decision support system (CDSS) that will tailor diagnosis and treatment guidance that is context-sensitive for anticipated astronaut health, wellness, and medical conditions. A variety of clinical decision support (CDS) and wellness tools (WT) are currently available in the commercial market and a broad-brush survey of this market can provide an initial impression of the current state of the art which, in turn, can inform the roadmap of NASA deep space CDSS development and associated requirements. Such a survey was undertaken during the first six months of 2020 using directed convenience sampling to obtain information provided by vendors on their websites; both commercially available CDS and WT (such as those used to track and monitor nutrition, exercise, and sleep) were included. Areas assessed were item type (e.g., software/application, device); primary purpose of the item (e.g., diagnostic support, nutrition tracking); additional purposes (if any); reported features, capabilities, and functionality; setting of use (e.g., inpatient, outpatient); intended user (e.g., clinician, patient); location and sources of data/information used or produced by the item; integration with patient electronic health record (EHR); compliance with interoperability ontologies and standards (e.g., Health Level 7 [HL7], Systematized Nomenclature of Medicine – Clinical Terminology [SNOMED-CT]); and whether the item is knowledge-based (derived from research findings) or non-knowledge-based (derived through artificial intelligence, machine learning, advanced probability and statistics), among others. Ninety-seven (97) vendor websites describing 196 CDS and 73 WT (269 total) were reviewed and coded. The primary purpose of the majority of CDS reviewed is diagnosis or diagnosis/treatment/drug decision support—targeted for clinician use— and the primary purpose of the majority of WT reviewed is the monitoring of different health metrics, most often through the use of a biosensor device (e.g., blood pressure)—targeted for patient use. Very few CDS or WT appear to comply with major international interoperability standards or can be integrated with a patient’s EHR data. None consider contextual factors, such as conditions of the physical environment (e.g., CO2 levels). The majority of CDS and WT reviewed are non-knowledge, cloud- or web-based applications or software. Forty-three (43) major findings were identified and the implications those findings have for NASA will be discussed. Example major findings include: CDS-WT capabilities range from diagnosis to treatment applications, CDS-WT may be wearable or non-wearable and are technologically advanced and only a few CDS-WT tools referenced compliance to ensure interoperability, among other findings. Recommendations will also be offered that will help to address ExMC Gap, Medical-701: Enhance medical capabilities within an exploration medical system.

market survey↗
NASA NTRSDate not supplied

NASA POWER: Providing Present and Future Climate Services Based on NASA Data for the Energy, Agricultural, and Sustainable Buildings Communities

NASA’s Prediction of Worldwide Energy Resource (POWER) project facilitates the use of NASA Earth Science data holdings within the renewable energy, agricultural, and building heating/cooling design industries. POWER packages solar and meteorological data at various temporal levels from several NASA projects in a user friendly GIS-enabled web services system (https://power.larc.nasa.gov). Data users can access these data either through an intuitive data viewer, image services fully integrable with GIS analysis, connections in the cloud through an Amazon Web Services S3 Bucket, or fully customizable access through an API. Data provided by POWER has been successfully used by decision makers to support actions that address climate change. For example, POWER data has been used to remotely monitor solar array fields and integrated in a sizing tool for off-grid solar and storage systems. POWER data has also been coupled with key building decision tools to support design and retrofitting of building energy systems for energy efficiency and reduction of greenhouse gases. POWER is now developing climate services to provide time series of the projected future evolution of key quantities that interest our users, such as heating/cooling degree days, temperature, wind speed, and downwelling solar flux. We demonstrate the potential of the new climate services by presenting here a range of possible future changes in these quantities at different NASA centers across the continental United States. These data services are based on downscaled climate model data from the NASA Earth Exchange Global Daily Downscaled Projections (NEX-GDDP) data set. We highlight the important insights that new climate services can provide. Our climate services will help our user communities quantify the impacts of climate change to support their key decisions in planning for the future, both inside and outside the Federal Government, especially for decisions in renewable energy and in building heating and cooling.

Bradley Hegyi↗
NASA NTRSDate not supplied

Development of TEMPO Products and Tools to Support Air Quality Management Decisions

The TEMPO mission has been observing air pollutants every hour during the daytime across its Field of Regard (FoR) covering greater North America since First Light on August 2, 2023. The highly anticipated public release of TEMPO data occurred on May 20, 2024, consisting of level 2 and level 3 trace gas data products of nitrogen dioxide, formaldehyde, and ozone. Our project at the NASA SPoRT Center is developing value-added products and tools to support the TEMPO mission and Early Adopters program with special attention on the air quality management community. The initial focus of this project is evaluating the TEMPO products over stakeholder target areas using Pandora and surface monitor observations. Methods for oversampling TEMPO data to 1 km resolution are being applied over the target areas to resolve fine-scale emission sources and pollutant gradients. Machine learning techniques using TEMPO, surface monitor, and model data to estimate surface-level nitrogen dioxide concentrations are being developed over the target areas. Our SPoRT viewer has been updated to include visualizations of the TEMPO products and an ArcGIS dashboard is being designed for enabling air quality management stakeholders to efficiently analyze TEMPO data. Training materials including user guides are being developed to ensure the effective and sustained use of TEMPO data in air quality management applications. The major outcome of this project is to support the inclusion of TEMPO data in exceptional event demonstrations by active engagement with stakeholders and ultimately enable more informed air quality management decisions in the future. This talk will provide an update on our project activities and showcase use cases of TEMPO data for monitoring different emission sources including wildland fire smoke.

air quality↗
NASA NTRS2001

A Safety Risk Assessment Methodology for Decision Support Systems with an Application to the Expedite Departure Path Tool

In support of the NASA Advanced Air Transportation Technologies Project, the Volpe National Transportation Systems Center has developed a methodology to perform safety risk assessments for air traffic control/air traffic management decision Support systems and concepts. Changes in controller, pilot, and/or airline dispatcher tasks that are affected by the decision support system are related to associated hazards. These hazards are then assessed either qualitatively or quantitatively in terms of likelihood of occurring and the impact if they do occur. Those items that show a potential safety hazard level increase can then have research plans developed to address those safety risks areas. An application of this methodology will he demonstrated using the AATT decision support tool Expedite Departure Path.

Snyder, Phillip T.↗
NASA NTRS2005

Taking the Risk Out of Risk Assessment

The ability to understand risks and have the right strategies in place when risky events occur is essential in the workplace. More and more organizations are being confronted with concerns over how to measure their risks or what kind of risks they can take when certain events transpire that could have a negative impact. NASA is one organization that faces these challenges on a daily basis, as effective risk management is critical to the success of its missions especially the Space Shuttle missions. On July 29, 1996, former NASA Administrator Daniel Goldin charged NASA s Office of Safety and Mission Assurance with developing a probabilistic risk assessment (PRA) tool to support decisions on the funding of Space Shuttle upgrades. When issuing the directive, Goldin said, "Since I came to NASA [in 1992], we've spent billions of dollars on Shuttle upgrades without knowing how much they improve safety. I want a tool to help base upgrade decisions on risk." Work on the PRA tool began immediately. The resulting prototype, the Quantitative Risk Assessment System (QRAS) Version 1.0, was jointly developed by NASA s Marshall Space Flight Center, its Office of Safety and Mission Assurance, and researchers at the University of Maryland. QRAS software automatically expands the reliability logic models of systems to evaluate the probability of highly detrimental outcomes occurring in complex systems that are subject to potential accident scenarios. Even in its earliest forms, QRAS was used to begin PRA modeling of the Space Shuttle. In parallel, the development of QRAS continued, with the goal of making it a world-class tool, one that was especially suited to NASA s unique needs. From the beginning, an important conceptual goal in the development of QRAS was for it to help bridge the gap between the professional risk analyst and the design engineer. In the past, only the professional risk analyst could perform, modify, use, and perhaps even adequately understand PRA. NASA wanted to change this by developing a PRA tool that would be friendlier, more understandable, and more useful to the broader engineering community. This concept ultimately led to the look, feel, and functionality that QRAS has today.

Source record↗
NASA NTRS2019

Ramp Traffic Console (RTC) Ramp Manager Traffic Console (RMTC) User Manual

This document serves as a user manual for the Ramp Traffic Console (RTC) Version 4.6.0 in the Ramp Control Tower. It describes the elements of the RTC interface and provides explanations for how to utilize RTC to manage ramp traffic. RTC provides live data for all flights including Earliest Off-Block Times (EOBTs) and Traffic Management Initiatives (TMIs). RTC augments management of ramp traffic by providing notifications of runway configurations, and lists flight arrivals, near arrivals, and departures as additional sources of information. This document also provides instructions for use of the Ramp Manager Traffic Console (RMTC) for Ramp Manager functions, such as adjusting the priority flight list and setting the ramp status. The RTC/RMTC ramp tools are components of the NASA Airspace Technology Demonstration 2 (ATD-2) sub-project.

Airport surface decision support tool↗
NASA NTRS2013

An Evaluation of Operational Airspace Sectorization Integrated System (OASIS) Advisory Tool

In January 2013, a human-in-the-loop evaluation of the Operational Airspace Sectorization Integrated System (OASIS) was conducted in the Airspace Operations Laboratory of the Human Systems Integration Division (Code TH) in conjunction with the Aviation Systems Division (Code AF). The development of OASIS is a major activity of the Dynamic Airspace Configuration (DAC) research focus area within the Aeronautics Research Mission Directorate (ARMD) Airspace Systems Program. OASIS is an advisory tool to assist Federal Aviation Administration (FAA) En Route Area Supervisors in their planning of sector combinedecombine operations as well as opening closing of Data-side (D-side) control positions. These advisory solutions are tailored to the predicted traffic demand over the next few hours. During the experiment, eight retired FAA personnel served as participants for a part-task evaluation of OASIS functionality, covering the user interface as well as the underlying algorithm. Participants gave positive feedback on both the user interface and the algorithm solutions for airspace configuration, including an excellent average rating of 94 on the tool usability scales. They also suggested various enhancements to the OASIS tool, which will be incorporated into the next tool development cycle for the full-scale human-in-the-loop evaluation to be conducted later this year.

decision support tools↗
NASA NTRS2019

Weather Design Considerations for the TASAR Traffic Aware Planner

The Traffic Aware Planner (TAP) is a decision support automation tool for trajectory planning and optimization intended for use on today’s flight deck. Drawing from a variety of on- and off-board data sources, TAP employs a sophisticated trajectory optimization algorithm that provides the aircrew with fuel- and time-saving reroute recommendations that are free of known conflicts with traffic, special use airspace, and severe convective weather. As this kind of weather is a significant part of the pilot’s decision-making process while planning trajectory changes en route, a series of investigations has been conducted into the integration of weather data and associated functionality into the TAP software. This paper reviews the weather data sources and functionality that have been incorporated into TAP to date, along with experience gathered in the course of the design process.

Lewis, Timothy A.↗