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Project 57 Air Monitoring Report: (Jan 1 - Dec 31 2018)

During the late 1950s, the Atomic Energy Commission (AEC) (now the U.S. Department of Energy [DOE]) conducted a series of safety experiments to determine if a nuclear device subjected to a large conventional explosives detonation would result in a nuclear yield. The AEC obtained temporary use of a large portion of western Emigrant Valley from the U.S. Department of Defense (DOD) for one of these experiments: Project 57. Following the Project 57 safety experiment, the AEC fenced the contaminated area and returned control of the surrounding land to the DOD. Emigrant Valley is part of the Nevada Test and Training Range (NTTR). For safety and security reasons, access to the NTTR is controlled using both physical (i.e., fences) and administrative (e.g., signs and postings) controls. Therefore, the public cannot access the Project 57 site and there are no known human receptors that routinely access the site. Project 57 was detonated on April 24, 1957, in Emigrant Valley approximately 13 mi (21 km) northeast of the north end of Yucca Flat. This test was undertaken to develop: (1) a means of estimating immediate distribution and long-term redistribution of plutonium dispersed during a nonnuclear detonation; (2) biomedical evaluation techniques for use in likely plutonium-laden environments; (3) methods of decontaminating ground areas, pavements, and building materials; and (4) alpha survey instruments and field monitoring procedures to promptly estimate contaminant deposition. Although the test did not result in the fission of nuclear materials, it did disseminate plutonium across the ground surface. Various radiological surveys have been performed in the area since Project 57 was conducted. The AEC delineated the area containing radioactive material based on radioactivity surveys performed shortly after the test was conducted. A designated Contamination Area (CA), marked by a fence, was established later. The distribution of americium-241 (Am-241) in the area was determined again in a 1997 flyover, which showed Am-241 ranging from as much as 70,000 counts per second (cps) at ground zero to background (<70 cps). This survey also documented Am-241 radioactivity on the ground surface beyond the east side CA fence at levels of up to 150 cps. In 2007, the DOE expanded the CA by posting “Contamination Area” signs 200 ft to 400 ft (60 m to 120 m) beyond the original fence, which formed a new CA boundary.

54 ENVIRONMENTAL SCIENCES↗

Project 57 Air Monitoring Report: January 1 through September 30, 2020, with a Review of the Period of Record Radionuclide Analyses

The DOE Environmental Management Nevada Program (EM NV) identified the Project 57 contaminated area as Corrective Action Unit (CAU) 415, Project 57 No. 1 Plutonium Dispersion Site, which consisted of one Corrective Action Site (CAS): NAFR-23- 02, Pu Contaminated Soil (U.S. DOE, 2014). The CAS included several Project 57 operational facilities in addition to the plutonium-contaminated soil. With approval of the State of Nevada Division of Environmental Protection, the DOE closed the Project 57 surface soil contamination site in October 2020. Closure was accomplished by installing a clean soil cap constructed over ground zero and the surrounding areas of the CA that may be entrained with wind-transported soil particles. After completion of the ground zero cap in October 2020, DRI discontinued monitoring of meteorological and associated environmental conditions at the Project 57 site as directed by DOE EM NV. Navarro dismantled air monitoring stations P57-3 and P57-4 and removed the equipment on October 20, 2020. This report presents the meteorological and dust observations and radiological analyses accomplished during the approximately 10 months when the air monitoring data collection equipment was operational during CY2020.

54 ENVIRONMENTAL SCIENCES↗

User's Manual for RESRAD-BUILD Code Version 4: Vol. 2 - User's Guide for RESRAD-BUILD Code Version 4

The RESRAD-BUILD computer code is designed to assess radiological doses to individuals who live or work in a building contaminated with radioactive material. The code is equipped with a user-friendly interface that has many features to facilitate using the computer code and understanding the results. The design of the interface provides various options, from entering data and performing calculations to displaying calculation results. General and context-specific help are available, providing information on editing and viewing the radionuclide database, the definitions of input parameters and their use in the calculations, and the selection of the calculation results for placement into other applications. Two types of sensitivity analysis are supported by the code, i.e., deterministic and probabilistic, that can be used to study the influence of input parameters on the calculation results. This user’s guide provides instructions to help users on how to install the RESRAD-BUILD code, navigate the interface, and use the various features to set up a dose/risk analysis and to view/print the results in text and graphical outputs.

61 RADIATION PROTECTION AND DOSIMETRY↗

User’s Manual for RESRAD-BUILD Code V.4: Vol. 1 – Methodology and Models Used in RESRAD-BUILD Code

The RESRAD-BUILD computer code models radionuclide release and transport in indoor environments and performs pathway analyses to evaluate the potential radiological dose and risk incurred by an individual who works or lives in a building contaminated with radioactive material or housing radioactively contaminated furniture or equipment. The code provides four geometries to characterize a radiation source: point, line, area, and volume, in which radionuclides are homogeneously distributed. Radionuclides contained in a source are considered to be released to the indoor air due to various processes including erosion (mechanically or weathering), diffusion (for tritium and radon in a volume source), or emanation (radon in a point, line, or area source). The release can proceed through different time phases with different rates. In RESRAD-BUILD Version 4.0, a dynamic ventilation model is implemented to simulate the fate and transport of source material particles and radionuclides after their releases. This dynamic ventilation model considers (1) air exchange between rooms in the building and between the rooms and the outdoor environment, (2) deposition from air to floor, (3) resuspension from the floor to the air, and (4) periodical vacuuming that reduces the floor deposition. The fate and transport modeling provides estimates of radionuclide concentrations in the source, in the air, and on the floor at different times, which are then integrated over the exposure duration for the calculation of radiation doses and cancer risks. A single run of the RESRAD-BUILD code can model a building with up to 9 rooms, 10 sources, and 10 receptors. The potential radiation dose and cancer risk incurred by each receptor are calculated for seven exposure pathways: (1) external radiation directly from the sources (accounting for shielding), (2) external radiation from radioactive particles deposited on the floors, (3) external radiation from airborne radionuclides, (4) inhalation of airborne radionuclides, (5) inhalation of radon and radon progenies, (6) inadvertent ingestion of radioactive particles directly from the source, and (7) ingestion of radioactive particles deposited on the floors. Various exposure scenarios can be modeled with RESRAD-BUILD, including but are not limited to, office worker, renovation worker, decontamination worker, building visitor, and resident. Both deterministic and probabilistic analyses can be performed to obtain results in both text reports and graphic displays.

61 RADIATION PROTECTION AND DOSIMETRY↗

Assessment of Potential Dose and Environmental Impacts from Proposed Testing at the INL National Security Test Range

This assessment uses screening-level models to calculate potential environmental impacts from proposed tests at two locations at the Idaho National Laboratory (INL) National Security Test Range (NSTR) site. Proposed tests could be conducted using 11 different radioactive material types that include K 2 O, LaBr 3 , KBr, Cu, Zr, F, Ga, Ga 2 O 3 , NaNO 2 , Ga-68, and Tc-99m. The tests could potentially release radioactive material to the atmosphere and radionuclides and other contaminants to the soil, which could leach into the unsaturated zone and migrate to the aquifer. Atmospheric transport of radionuclides to potential human receptors and time-integrated air concentrations were calculated with a Gaussian plume model and three years of hourly meteorological data. Potential surface-soil impacts were calculated with the computer program mixing-cell model (MCM). Groundwater impacts were calculated with the computer programs MCM and GWSCREEN. Radiological doses from potential atmospheric releases were calculated for public receptors off the INL Site and for workers at nearby INL facilities. Results were compared to regulatory dose limits. Maximum potential groundwater concentrations were estimated in the aquifer below the NSTR site and compared to drinking water standards or risk-based screening levels for resident tap water. Soil concentrations were calculated and compared to risk-based screening levels for workers and potential future residents. All impacts were estimated based on the assumption that 12 tests are conducted annually using all 11 material types for 15 years. This document provides the resources to enable a subject matter expert in the field of environmental assessments to replicate the modeling and calculations. The methodology and parameters are presented in the text. All electronic files, including computer-code input, output, executable files, batch files, scripts, and spreadsheet files, are contained in a zip file that can be accessed by selecting “Additional Information” (select Native File) in the INL Electronic Document Management System (EDMS). It is highly unlikely the test scenarios evaluated in this ECAR will adversely impact human health based on comparisons of calculated dose and concentration against regulatory standards and risk-based screening levels. Conservative estimates of dose to workers and the public from atmospheric transport of possible radionuclide releases are far below federal radiation protection standards. Conservative estimates of potential contaminant concentrations in groundwater are less than federal drinking water standards or screening levels. Predicted radionuclide concentrations in surface soils are below risk-based screening levels, except for Ge-68 (material Ga-68) for the worker. The Ge-68 soil concentration can be made less than the worker PRG, if the number of annual tests using Ga-68 is reduced from 12 to 6. However, the sum of ratios still exceeds one because of the high K-40 ratio. If the EF of the worker (number of days the worker is in the contaminated testing area) is reduced from 225 days/yr (default value for full time worker) to 112 days/yr, the Ge-68 ratio is less than one and the sum of ratios is less than one. Actual radiation doses and groundwater and surface-soil concentrations are likely to be much less than those calculated because of the conservative assumptions and parameters employed in the modeling. For example, atmospheric-transport calculations assume the entire inventory of each material type is readily released to the atmosphere and no plume deposition, depletion, or radioactive decay occurs during transport. The calculations also assume the same meteorological conditions (e.g., wind velocity, wind direction, stability class) that produce the maximum 95th percentile concentration (i.e., concentration representing the 95th percentile of a distribution of concentrations derived from 3 years of hourly meteorological data) at each receptor location are the same for all 12 tests during the year, and each receptor is assumed to be present during all 12 tests. The surface-soil assessment assumes the entire inventory of each test is deposited in the top 5 cm of soil. No atmospheric dispersal is assumed, and the radionuclides are subject only to leaching and radioactive decay. The groundwater-pathway modeling is conservative in that it is one-dimensional in the unsaturated zone (no lateral spreading/dilution) and assumes the entire inventory of contaminants infiltrates into the ground at the same location for every test. This is especially conservative for particulate radionuclides because they would have to dissolve or corrode first and some would be dispersed into the atmosphere. The groundwater receptor is also assumed to consume water directly from a hypothetical well positioned in the location of maximum concentration. In addition, conservative degradation rates were used, and volatilization was not considered for the nonradradioactive chemicals modeled. And finally, the calculations assume all 12 tests will be performed at the same place at both locations, and all 11 radioactive material types will be used for each test. This is conservative because it is anticipated that no more than two material types will be used per test.

99 GENERAL AND MISCELLANEOUS↗

Domestic Extremism (Executive Summary)

Domestic extremism (DE) has been a growing concern in the U.S. in recent months, as illustrated in multiple bulletins from the Department of Homeland Security (DHS) warning law enforcement partners of the heightened threat. As concerns about these actors grows, it is important that facilities in the U.S. and internationally that protect critical assets, such as sensitive information, hazardous materials, or critical infrastructure, have effective methods in place to secure those assets. DE has challenged security systems through the danger of insider attack and violence, creating a new threat to be countered. In this effort, therefore, we used a literature review and focus group discussions with experts in critical asset security and extremism to understand the nature of the domestic extremist threat, to identify best practices in securing assets, recognize potential gaps in security measures to be corrected, and recommend actions for the Office of Radiological Security (ORS) to address DE with its partners.

45 MILITARY TECHNOLOGY, WEAPONRY, AND NATIONAL DEF↗

Baseline Hypothetical Facility for the Production of 131 I, 99 Mo, and 133 Xe from HALEU Fission Targets

The report describes the development of a hypothetical facility to produce the pharmaceutical radioisotope 131 I at an amount of 60 curies per week via the fission of a High Assay Low Enriched Uranium (HALEU) target, along with the chemical and physical processes and equipment needed to separate the 131 I and co-produced 99 Mo and 133 Xe. The hypothetical design was carried out using a 10 MWt research reactor. The irradiation calculation determined that three HALEU targets with aluminum cladding can be used to produce 60 Ci/week of 131 I, 750 Ci/week of 99 Mo and 560 Ci/week of 133 Xe. The process selected for the baseline design uses caustic dissolution of the target material with ion exchange processes to separate and purify the iodine and molybdenum. The xenon is processed using a cryogenic carbon bed separation process. Target processing occurs in seven shielded hot cells with a total footprint of 16m 2 and waste management occurs in an eight hot cell with a 2.5 m 2 footprint. Waste generated from the processing of the three targets per week would generate less than 4 shielded drums of waste annually. These hot cells would need varying levels of shielding due to the amount of fission products being handled in the unit. Hot cell facilities also require support services including QA/QC, health physics, administrative staff, operator changing room, radiological buffer areas, and waste storage. The overall facility would require a footprint of 1050 m 2 with 20.25 m 2 of shielded hot cells.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Assessment of Potential Dose and Environmental Impacts from Proposed Testing at the INL National Security Test Range

This assessment uses screening level models to calculate potential environmental impacts from proposed tests at two locations at the Idaho National Laboratory (INL) National Security Test Range (NSTR) site. Proposed tests could be conducted using 11 different radioactive material types that include K 2 O, LaBr 3 , KBr, Cu, Zr, F, Ga, Ga 2 O 3 , NaNO 2 , Ga-68, and Tc-99m. The tests could potentially release radioactive material to the atmosphere and radionuclides and other contaminants to the soil, which could leach into the unsaturated zone and migrate to the aquifer. Atmospheric transport of radionuclides to potential human receptors and time-integrated air concentrations were calculated with a Gaussian plume model and three years of hourly meteorological data. Potential surface soil impacts were calculated with the computer program Mixing-Cell Model (MCM). Groundwater impacts were calculated with the computer programs MCM and GWSCREEN. Radiological doses from potential atmospheric releases were calculated for public receptors off the INL Site and for workers at nearby INL facilities. Results were compared to regulatory dose limits. Maximum potential groundwater concentrations were estimated in the aquifer below the NSTR site and compared to drinking water standards or risk-based screening levels for resident tap water. Soil concentrations were calculated and compared to risk-based screening levels for workers and potential future residents. All impacts were estimated based on the assumption that 12 tests are conducted annually using all 11 material types for 15 years. This document provides the resources to enable a subject matter expert in the field of environmental assessments to replicate the modeling and calculations. The methodology and parameters are presented in the text. All electronic files, including computer code input, output, executable files, batch files, scripts, and spreadsheet files, are contained in a zip file that can be accessed by selecting “Additional Information” (select Native File) in the INL Electronic Document Management System (EDMS).

99 GENERAL AND MISCELLANEOUS↗

The Future of X-ray Irradiation: Addressing Supply Chain Risks and Opportunities (UUR Edition)

This study supports the Office of Radiological Security’s (ORS) mission of eliminating cesium irradiators by analyzing the supply chain for self-shielded X-ray irradiators (SSXIs), identifying potential risks, and proposing mitigation measures. The research focuses on the primary components of SSXIs, including X-ray tubes, controllers, generators, and coolers or chillers, and evaluates their vulnerabilities using a comprehensive risk matrix framework. The methodology includes subject matter expert (SME) interviews with relevant manufacturers and major stakeholders, a deep literature review, and a meta-analysis of maintenance reports provided by SSXI end users. Results show that while the SSXI market is small, it’s growing, and the highly global nature of the supply chain may create vulnerabilities for critical SSXI components (X-ray tubes are the most vulnerable, followed by generators and controllers). This research communicates necessary information to address concerns of current and future end users, especially those interested in transitioning away from radioactive sources, and informs future policy aimed at supporting the irradiation industry.

07 ISOTOPE AND RADIATION SOURCES↗

Activation of Thermal Insulation and Contamination Prevention

The goals of this paper are to enhance the understanding of the potential activation and contamination hazards from the use of insulating materials in the Molten Chloride Reactor Experiment and to foster safer work environments through informed decision-making and strategic planning. It was written to resolve a gating comment from the core heating system preliminary design review. The largest dose expected from the considered insulation materials is about 0.1 mrem per year from Pyrogel. Although Cerablanket stood out among the insulation materials for encouraging ALARA practices, it has a higher thermal conductivity. At low power levels, focusing on reducing the generation of dust from ERD activities may be more effective for reducing the potential spread of contamination than changing the insulating material type. However, regardless of the material chosen, PPE and safety conscious procedural practices can help reduce the production and spread of activated dust––thus minimizing the radiological hazard to workers.

21 - SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLAN↗

Strategies for the Photoreduction of Tc-99 Pertechnetate to Low-Valent Tc by Keggin Polyoxometalates

Technetium-99 (half-life of 2.1 × 10 5 yrs, β max = 0.29 MeV) is a hazardous radiological contaminant, which, in its predominant form of pertechnetate (TcO 4 – ), is highly mobile in the environment. Most strategies for the removal of pertechnetate from the environment involve uptake and/or absorption of pertechnetate using resins, clays, cationic metal-organic frameworks and even thorium borate ceramic like materials. Alternative approaches have involved the reduction and subsequent sequestration of lower valent technetium species using iron, sulfides, or iron sulfides. Here, our lab has explored this strategy using the lacunary alpha-2 Wells–Dawson polyoxometalate (α 2 -[P 2 W 17 O 61 ] 10– ) to both reduce and sequester lower valent technetium, and we have reported on the ligand features that stabilize the reduced species. In this work we investigate the potential of “plenary” Keggin POMs (XW 12 O 40 n – ) (X = P, Si, Al, n = 3, 4, 5, respectively) to both reduce TcO 4 – and stabilize the reduced Tc species. Specifically, we report on the mechanism by which the reduction of technetium occurs and find that PW 12 , SiW 12 , and AlW 12 promote the reduction of TcO 4 – to lower valent states. X-ray absorption spectroscopy was used to confirm a combination of Tc IV {in the form of TcO 2 · 2H 2 O and Tc 2 (µ-O) 2 4+ } and Tc V , which is subsequently complexed into a POM defect as a Tc V =O species.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

ProZES: the methodology and software tool for assessment of assigned share of radiation in probability of cancer occurrence

ProZES is a software tool for estimating the probability that a given cancer was caused by preceding exposure to ionising radiation. ProZES calculates this probability, the assigned share, for solid cancers and hematopoietic malignant diseases, in cases of exposures to low-LET radiation, and for lung cancer in cases of exposure to radon. User-specified inputs include birth year, sex, type of diagnosed cancer, age at diagnosis, radiation exposure history and characteristics, and smoking behaviour for lung cancer. Cancer risk models are an essential part of ProZES. Linking disease and exposure to radiation involves several methodological aspects, and assessment of uncertainties received particular attention. ProZES systematically uses the principle of multi-model inference. Models of radiation risk were either newly developed or critically re-evaluated for ProZES, including dedicated models for frequent types of cancer and, for less common diseases, models for groups of functionally similar cancer sites. The low-LET models originate mostly from the study of atomic bomb survivors in Hiroshima and Nagasaki. Risks predicted by these models are adjusted to be applicable to the population of Germany and to different time periods. Adjustment factors for low dose rates and for a reduced risk during the minimum latency time between exposure and cancer are also applied. The development of the methodology and software was initiated and supported by the German Federal Ministry for the Environment, Nature Conservation and Nuclear Safety (BMU) taking up advice by the German Commission on Radiological Protection (SSK, Strahlenschutzkommission). These provide the scientific basis to support decision making on compensation claims regarding malignancies following occupational exposure to radiation in Germany.

97 MATHEMATICS AND COMPUTING↗

Domain Shift Analysis in Chest Radiographs Classification in a Veterans Healthcare Administration Population

This study aims to assess the impact of domain shift on chest X-ray classification accuracy and to analyze the influence of ground truth label quality and demographic factors such as age group, sex, and study year. We used a DenseNet121 model pre-trained MIMIC-CXR dataset for deep learning-based multi-label classification using ground truth labels from radiology reports extracted using the CheXpert and CheXbert Labeler. We compared the performance of the 14 chest X-ray labels on the MIMIC-CXR and Veterans Healthcare Administration chest X-ray dataset (VA-CXR). The validation of ground truth and the assessment of multi-label classification performance across various NLP extraction tools revealed that the VA-CXR dataset exhibited lower disagreement rates than the MIMIC-CXR datasets. Additionally, there were notable differences in AUC scores between models utilizing CheXpert and CheXbert. When evaluating multi-label classification performance across different datasets, minimal domain shift was observed in the unseen VA dataset, except for the label “Enlarged Cardiomediastinum.” The subgroup with the most significant variations in multi-label classification performance was study year. These findings underscore the importance of considering domain shift in chest X-ray classification tasks, paying particular attention to the temporality of the exam. Our study reveals the significant impact of domain shift and demographic factors on chest X-ray classification, emphasizing the need for improved transfer learning and robust model development. Addressing these challenges is crucial for advancing medical imaging research and improving patient care.

chest X-ray image classification↗

Column separation of tetravalent cerium fission products from trivalent rare earth radio-isotopes

Rapid and efficient isolation of individual rare earth element (REE) radioisotopes from complex mixtures is necessary to support the fields of nuclear forensics, medical isotope production and nuclear physics measurements. The separations must be robust and generate sufficiently high purity samples for subsequent radiological analysis. Current methodologies utilize a laborious two step Ce(IV)-iodate precipitation followed by Ce(IV)-nitrate di-(2-ethylhexyl)phosphoric acid/n-heptane extraction. This work reports an alternative method to isolate Ce fission product isotopes equilibrated with milligrams of cold carrier, from the remaining REE’s using a Ce(IV)/LN-resin (Eichrom Technologies) based separation. Optimization of Ce(IV) loading, REE(III) elution volume and subsequent Ce(III) stripping step utilized 166m Ho tracer. Mixed fission product experiments provided a further test of this LN-resin method, with analysis of purified 141/144 Ce, 147 Nd and 91 Y. Overall, while decontamination factors were lower for the LN-resin method, (vs. the combined precipitation/extraction) the simplicity of the technique and the satisfactory fission product analysis results point to the efficacy of this method.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗

Total Mercury Analysis of Radioactive Waste Containing Multiple Mercury Species

In this work, a direct mercury analyzer (DMA) was used to analyze total mercury in radioactive waste samples containing methylmercury and other forms of mercury including Hg o (elemental) together with inorganic ionic mercury species and complexes. These samples were also analyzed using Cold Vapor Atomic Absorption Spectroscopy (CVAAS) and/or Inductively Coupled Plasma Mass Spectroscopy (ICMS). Comparative statistical evaluation of the results from spike solutions/simulants, liquid radioactive waste samples, and interlaboratory performance test samples demonstrated that the various methods generated accurate and/or equivalent total mercury data and equivalent precision (2σ ± < 20%). Triplicate total mercury analysis of an exemplar radioactive waste resulted in an average value of 54.1 mg/L (as Hg) using CVAAS, 55.1 mg/L using ICPMS and 56.0 mg/L using DMA. A primary advantage of the DMA in a radioactive environment is avoiding multi-step, labor-intensive, time-consuming and waste-producing sample preparation protocols needed for CVAAS and ICPMS. DMA was determined to be the preferred method for measuring total mercury in the Savannah River National Laboratory (SRNL) radioanalytical laboratory based on analytical performance combined with ease of use in a radiological containment unit.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗

Penetration of Fission Products Ions into Complex Solids and the Effect of Ionic Wash Methods

During washing of radiologically impacted building surfaces, penetration of radionuclide ions into complex solids associated with these surfaces may occur. This study investigates the penetration of Cs-137, Sr-85, and Eu-152 solutions into numerous common building materials and radionuclide behavior when these materials were exposed to a static bath or low-pressure flow of tap water, 0.1 M potassium chloride (KCl), and 0.5 M KCl. The decontamination efficacy and the depth profile for residual contamination were measured to determine the conditions under which applying a wash solution has benefit compared to physically removing the surface material. On asphalt, 70-80% of the radionuclides were found to be within 0.02 mm of the surface. Concrete is more porous than asphalt, and 80% of the radionuclides were within 0.2 mm of the surface for Cs-137 and Eu-152 and 50-80% for Sr-85. Water effectively removed all contaminants from hard nonporous surfaces. Finally, this paper illustrates that a wash penalty factor concept-defined as ratio of the depth at which 50% of the radioactivity is found in the washed sample divided by the depth at which 50% of radioactivity is found in the control-can serve as a way to quantify whether the wash method increases the depth at which contamination penetrates into the material and thus the material becomes more difficult to decontaminate.

building materials↗

Multiscale Modeling Meets Machine Learning: What Can We Learn?

Machine learning is increasingly recognized as a promising technology in the biological, biomedical, and behavioral sciences. There can be no argument that this technique is incredibly successful in image recognition with immediate applications in diagnostics including electrophysiology, radiology, or pathology, where we have access to massive amounts of annotated data. However, machine learning often performs poorly in prognosis, especially when dealing with sparse data. This is a field where classical physics-based simulation seems to remain irreplaceable. In this review, we identify areas in the biomedical sciences where machine learning and multiscale modeling can mutually benefit from one another: Machine learning can integrate physics-based knowledge in the form of governing equations, boundary conditions, or constraints to manage ill-posted problems and robustly handle sparse and noisy data; multiscale modeling can integrate machine learn- ing to create surrogate models, identify system dynamics and parameters, analyze sensitivities, and quantify uncertainty to bridge the scales and understand the emergence of function. With a view towards applications in the life sciences, we discuss the state of the art of combining machine learning and multiscale modeling, identify applications and opportunities, raise open questions, and address potential challenges and limitations. We anticipate that it will stimulate discussion within the community of computational mechanics and reach out to other disciplines including mathematics, statistics, computer science, artificial intelligence, biomedicine, systems biology, and precision medicine to join forces towards creating robust and efficient models for biological systems.

machine learning, multiscale modeling, physics-bas↗