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All sourcesNASA NTRSDOE OSTI
NASA NTRS2020

Cherokee Water Resources - Mapping Hemlock Tree Composition and Health in the Southern Appalachians Using NASA Earth Observations to Enhance Drought and Watershed Health-Related Forest Management for the Eastern Band of the Cherokee Indians

The Eastern Band of Cherokee Indians (EBCI) owns and manages more than 55,000 acres of land in the Southern Appalachian Mountains of western North Carolina. Most of these lands reside within the Oconaluftee River watershed. In this region and watershed, hemlock trees are a culturally significant foundation species that contribute to habitat biodiversity, regulate temperature and evapotranspiration of riparian environments, and provide economic value for tourism and recreation. The hemlock woolly adelgid (HWA), an invasive insect, has caused widespread hemlock mortality in recent decades, raising concerns about hemlock decline. Hemlock mortality leads to standing dead trees and increased evapotranspiration which can abet the spread of wildfires, especially during periods of drought. The DEVELOP team used satellite imagery from Landsat 5 Thematic Mapper (TM) to quantify and map possible hemlock decline by comparing changes in the normalized difference vegetation index (NDVI) values of winter season between 2003 and 2010. The project utilized the Shuttle Radar Topography Mission (SRTM) along with imagery from Landsat 8 Operational Land Imager (OLI) to create a weighted suitability analysis that maps topographic and environmental conditions favorable for hemlock habitat. This study found that 67% of evergreen and mixed forest cover in the Oconaluftee River valley exhibited a decrease in winter NDVI from 2003 to 2010. Additionally, the two-example weighted suitability analyses showed 4.5-9.5% of hemlock suitable land in 2018 in the Oconaluftee. The partners of this project can use the outputs to identify the extent of potential hemlock decline in the Oconaluftee and establish benchmark metrics for assessing changes in hemlock suitable areas over time.

Richard Murray↗
NASA NTRSDate not supplied

Medical Countermeasure Requirements for Meeting Permissible Radiation Exposure Limits in Space

The space radiation environment consists of ionizing radiation that poses healthrisks to crew members who embark on a mission to Mars. NASA requiresthat astronaut career radiation limits for the Risk of Exposure Induced Death(REID) should not exceed 3% at the upper 95% confidence level for cancermortality. However, the lifetime career limit is likely to be exceeded for eventhe shortest round-trip mission scenario to Mars. As such, approaches fordirectly reducing the radiation risk, despite the large uncertainties, are beinginvestigated. A recent study showed that medical countermeasures (MCM)which reduced background cancer mortality rates may be effective in mitigatingthe REID, where the data employed in the sensitivity analysis were limited tocohort studies of aspirin and warfarin. The present work addresses the generalMCM requirements that are needed to meet the lifetime career exposure limitsby examining modifications to the background cancer mortality rates, radiationquality factor, and low-LET radiation risk models for a Mars mission scenario.These results may be used to help inform decision-makers about potentialexperimental measurements that facilitate the greatest propensity for MCM risk reduction.

Charles M Werneth↗
NASA NTRS2019

Satellite-Based Assessment of Grassland Conversion and Related Fire Disturbance in the Kenai Peninsula, Alaska

Spruce beetle-induced (Dendroctonus rufipennis (Kirby)) mortality on the Kenai Peninsula has been hypothesized by local ecologists to result in the conversion of forest to grassland and subsequent increased fire danger. This hypothesis stands in contrast to empirical studies in the continental US which suggested that beetle mortality has only a negligible effect on fire danger. In response, we conducted a study using Landsat data and modeling techniques to map land cover change in the Kenai Peninsula and to integrate change maps with other geospatial data to predictively map fire danger for the same region. We collected Landsat imagery to map land cover change at roughly five-year intervals following a severe, mid-1990s beetle infestation to the present. Landcover classification was performed at each time step and used to quantify grassland encroachment patterns over time. The maps of land cover change along with digital elevation models (DEMs),temperature, and historical fire data were used to map and assess wildfire danger across the study area. Results indicate the highest wildfire danger tended to occur in herbaceous and black spruce land cover types, suggesting that the relationship between spruce beetle damage and wildfire danger in costal Alaskan forested ecosystems differs from the relationship between the two in the forests of the coterminous United States. These change detection analyses and fire danger predictions provide the Kenai National Wildlife Refuge (KENWR) ecologists and other forest managers a better understanding of the extent and magnitude of grassland conversion and subsequent change in fire danger following the 1990s spruce beetle outbreak.

wildfire↗
NASA NTRS2021

San Diego Urban Development: Utilizing NASA Earth Observations to Identify Drivers of Extreme Urban Heat and Generate a High-Resolution Vulnerability Index for Urban Planning and Climate Resiliency in San Diego, California

Exposure to heat exacerbated by an increase in urbanization as well as increasing global temperatures has become a growing concern for cities and their residents. Excess heat can cause increased heat-related morbidity, mortality, and energy costs. Vulnerability to heat-related illnesses is oftentimes correlated to demographics, socioeconomic status, and pre-existing health conditions. The City of San Diego, California boasts 1.4 million residents and, like many other major cities, has experienced increases in heat-related hospitalizations and mortality. The burden of urban heat is also not equal amongst communities; areas with lower income and communities of color bear a disproportionate burden. In partnership with the City of San Diego, and American Geophysical Union’s (AGU) Thriving Earth Exchange, the DEVELOP team used Landsat 8 Operational Land Imager (OLI) and Thermal Infrared Sensor (TIRS), and ECOsystem Spaceborne Thermal Radiometer Experiment on Space Station (ECOSTRESS) imagery to identify areas of highest heat based on land surface temperature from 2015-2020. Our analyses showed that health demographics such as obesity and cardiovascular health were the strongest indicators for heat vulnerability. In addition, various inputs (land use/land cover, tree canopy, and building intensity derived from the City of San Diego data along with albedo from Landsat 8) were used in the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) urban cooling model to investigate changes in cooling rates in current and future scenarios for the city. The model results showed that cooling is expected to occur due to a 5% increase in tree canopy. The City of San Diego can use these results to inform the development of the Climate Resilient San Diego plan and prioritize at-risk communities for cooling interventions.

John Dialesandro↗
NASA NTRS2022

Commercial fishery bycatch risk for large juvenile and adult smalltooth sawfish (Pristis pectinata) in Florida waters

1.Incidental catch of marine species can create ecological and economic issues, particularly for endangered species. The smalltooth sawfish (Pristis pectinata) is endemic to the Atlantic Ocean and listed as Endangered in the US Endangered Species Act. One of its major threats is bycatch mortality in commercial fisheries. 2.Despite the protection afforded by the US Endangered Species Act, smalltooth sawfish are still captured as bycatch in commercial fisheries. Acoustic and satellite tag data collected on 59 sawfish between 2011 and 2019 were analysed to assess commercial fishery bycatch risk for large juveniles and adults off Florida. This study focused on shrimp trawl, south-east coastal gillnet, and shark bottom longline fisheries, as these were identified in the recovery plan as having the greatest potential threats to recovery. 3.Bycatch risk associated with the shrimp trawl fishery was significantly higher than the other fisheries, indicating that this fishery currently poses the greatest threat to recovery. 4.Bycatch risk was concentrated in all seasons in the Gulf of Mexico adjacent to the lower Florida Keys for the shrimp trawl fishery, off Cape Canaveral in the south-east coastal gillnet fishery, and in the Atlantic Ocean adjacent to the Florida Keys in the shark bottom longline fishery. 5.Tagging location and sex were predictors of bycatch risk. Individuals tagged in Charlotte Harbor had the highest shrimp trawl bycatch risk. Females tagged in south Florida tended to reside in the deepest water, which is where shrimp trawl effort is highest. Therefore, females may be at more risk in these deeper waters. 6.Results from this study indicate a year-round closure of waters off south-west Florida to the shrimp trawl fishery between Charlotte Harbor and the western Florida Keys would reduce sawfish bycatch, and thus mortality, which is in line with recovery plan goals.

acoustic monitoring, bycatch, commercial fisheries↗
NASA NTRSDate not supplied

The Evolution of the Impact Evidence Library Methods – What We Learned

During fiscal years 2020-2022 NASA’s Human Research Program, Exploration Medical Capability Element has worked to source this evidence for the model. During the process several lessons learned have been identified and drive recommendations for future efforts. The ICL 1.0: Spaceflight Medical Operational expertise should be consulted regarding the addition of future conditions. A clinician experienced with the nuances of spaceflight is recommended to have a minimum of 20 hours per condition to adequately source the evidence. Condition definitions should be carefully crafted to maintain mutual exclusivity. Common side effects from medications, common and consequential incidental findings in laboratory studies, and consequential side effects of diagnostic and procedural capabilities should be considered for inclusion as unique conditions in future iterations of the ICL 1.0. Incidence: Spaceflight incidence, although based on small population sizes, is the gold standard. Terrestrial incidence should be applied cautiously. Probability of minor vs. severe cases of the condition: Data informing severity probability of the medical condition are nearly always terrestrial. Special attention should be paid to this metric as it drives outcomes in the model and terrestrial data often overestimate severity of expected cases in spaceflight. Condition duration: Three clinical phases currently exist in the model. They represent the time necessary for diagnosis, treatment/convalescence/recurrence, and the remaining duration of the mission after maximal recovery, respectively. Further subdivision of acute and convalescent treatment/recurrence is recommended. Probability of need for evacuation: Surrogates for “Return to Definitive Care” were chosen prior to data collection. In most cases these surrogates were “need for hospitalization” or “need for surgery.” For many conditions these may not be realistic drivers of “Return to Definitive Care” and should be re-examined. Probability of Crew Mortality: Terrestrial mortality data is difficult to apply to astronauts who, invariably, have less comorbidities than terrestrial subjects. It must be applied judiciously. The proportion of mission tasks impaired by the condition: “Task Impairment” was assigned to each condition prior to the condition duration data becoming available. Future efforts should assign Task Impairment as the final step in sourcing the evidence.

A.J. Kreykes↗
NASA NTRS2022

The Importance of Internal Climate Variability in Climate Impact Projections

Uncertainty in climate projections is driven by three components: scenario uncertainty, intermodel uncertainty, and internal variability. Although socioeconomic climate impact studies increasingly take into account the first two components, little attention has been paid to the role of internal variability, although underestimating this uncertainty may lead to underestimating the socioeconomic costs of climate change. Using large ensembles from seven coupled general circulation models with a total of 414 model runs, we partition the climate uncertainty in classic dose–response models relating county-level corn yield, mortality, and per-capita gross domestic product to temperature in the continental United States. The partitioning of uncertainty depends on the time frame of projection, the impact model, and the geographic region. Internal variability represents more than 50% of the total climate uncertainty in certain projections, including mortality projections for the early 21st century, although its relative influence decreases over time. We recommend including uncertainty due to internal variability for many projections of temperature-driven impacts, including early-century and midcentury projections, projections in regions with high internal variability such as the Upper Midwest United States, and impacts driven by nonlinear relationships.

climate impacts↗
DOE OSTI2014

Turbulent Flow Effects on the Biological Performance of Hydro-Turbines

The hydro-turbine industry uses Computational Fluid Dynamics (CFD) tools to predict the flow conditions as part of the design process for new and rehabilitated turbine units. Typically the hydraulic design process uses steady-state simulations based on Reynolds-Averaged Navier-Stokes (RANS) formulations for turbulence modeling because these methods are computationally efficient and work well to predict averaged hydraulic performance, e.g. power output, efficiency, etc. However, in view of the increasing emphasis on environmental concerns, such as fish passage, the consideration of the biological performance of hydro-turbines is also required in addition to hydraulic performance. This leads to the need to assess whether more realistic simulations of the turbine hydraulic environment -those that resolve unsteady turbulent eddies not captured in steady-state RANS computations- are needed to better predict the occurrence and extent of extreme flow conditions that could be important in the evaluation of fish injury and mortality risks. In the present work, we conduct unsteady, eddy-resolving CFD simulations on a Kaplan hydro-turbine at a normal operational discharge. The goal is to quantify the impact of turbulence conditions on both the hydraulic and biological performance of the unit. In order to achieve a high resolution of the incoming turbulent flow, Detached Eddy Simulation (DES) turbulence model is used. These transient simulations are compared to RANS simulations to evaluate whether extreme hydraulic conditions are better captured with advanced eddy-resolving turbulence modeling techniques. The transient simulations of key quantities such as pressure and hydraulic shear flow that arise near the various components (e.g. wicket gates, stay vanes, runner blades) are then further analyzed to evaluate their impact on the statistics for the lowest absolute pressure (nadir pressures) and for the frequency of collisions that are known to cause mortal injury in fish passing through hydro-turbines.

42 ENGINEERING↗
DOE OSTI2016

Electronic health record analysis via deep poisson factor models

Electronic Health Record (EHR) phenotyping utilizes patient data captured through normal medical practice, to identify features that may represent computational medical phenotypes. These features may be used to identify at-risk patients and improve prediction of patient morbidity and mortality. We present a novel deep multi-modality architecture for EHR analysis (applicable to joint analysis of multiple forms of EHR data), based on Poisson Factor Analysis (PFA) modules. Each modality, composed of observed counts, is represented as a Poisson distribution, parameterized in terms of hidden binary units. In-formation from different modalities is shared via a deep hierarchy of common hidden units. Activation of these binary units occurs with probability characterized as Bernoulli-Poisson link functions, instead of more traditional logistic link functions. In addition, we demon-strate that PFA modules can be adapted to discriminative modalities. To compute model parameters, we derive efficient Markov Chain Monte Carlo (MCMC) inference that scales efficiently, with significant computational gains when compared to related models based on logistic link functions. To explore the utility of these models, we apply them to a subset of patients from the Duke-Durham patient cohort. We identified a cohort of over 12,000 patients with Type 2 Diabetes Mellitus (T2DM) based on diagnosis codes and laboratory tests out of our patient population of over 240,000. Examining the common hidden units uniting the PFA modules, we identify patient features that represent medical concepts. Experiments indicate that our learned features are better able to predict mortality and morbidity than clinical features identified previously in a large-scale clinical trial.

96 KNOWLEDGE MANAGEMENT AND PRESERVATION↗
DOE OSTI2020

Predicting and Managing Risk to Bats at Commercial Wind Farms using Acoustics

Bat populations in North America face novel threats from white-nose syndrome and widespread turbine-related mortality related to the rapidly expanding wind power industry in addition to long-standing pressures from habitat loss and degradation. Bats, unlike most small mammals, are long-lived and slow to reproduce, highlighting the importance of understanding and managing anthropogenic sources of mortality. My dissertation research used acoustic bat detectors to measure bat activity at commercial wind projects, predict patterns in risk, and design strategic measures to reduce fatality rates by curtailing turbine operation during periods when bats are most active. Bats collide with wind turbines only when their rotors are spinning, and risk of turbine-related fatality is therefore a dynamic factor that can be manipulated by curtailing turbine operation when bats are active. We first measured inter-detector variation in metrics of acoustic bat activity to understand how the acoustic detection process may affect inferences related to spatial and temporal variation in bat activity. Using acoustic detectors mounted on top of wind turbines at two commercial wind farms in West Virginia, we then demonstrated that the amount of bat activity recorded when turbines were operating aligned closely with bat fatality rates on multiple scales. Accordingly, the metric of bat activity exposed to turbine operation provides a meaningful, quantitative indicator of turbine-related bat fatality risk. Further, bats responded consistently to changing wind speed and temperature at turbines in both wind farms across multiple years, enabling exposed bat activity to be predicted accurately among turbines and years. Building on these results, we simulated exposure of bats to turbine operation and energy loss for curtailment strategies recommended by state and federal agencies in the United States and Canada. By adjusting parameters such as cut-in wind speeds and temperature thresholds, we demonstrated the ability to design strategic curtailment programs that achieve equivalent or greater predicted reductions in bat activity exposure for substantially less energy-production loss. Characterizing fatality risk on a finer scale using acoustics will help regulatory agencies and the wind industry alike reduce risks of population-level impacts to vulnerable bat species while continuing to expand large-scale renewable energy generation.

17 WIND ENERGY↗
DOE OSTI2019

Radionuclide Risk Coefficient Uncertainty Distributions for Use in Performance Assessments - 19156

Traditionally, radiation dose has been used as the regulatory criterion for decision making in performance assessments (PAs), despite the concept of cancer risk arguably being a more easily understood endpoint than dose for the public, and a preferable metric for decision analysis. However, the United States Environmental Protection Agency (EPA) has developed risk parameters for use in risk assessments and PAs in the form of radionuclide-specific risk coefficients, or RCs, which are published in various Federal Guidance Reports (FGRs). RCs are employed as scalars to convert environmental radionuclide exposure (via ingestion, inhalation, and external exposure) estimates to incremental lifetime cancer risk (ILCR). ILCR is the additional cancer risk averaged over a lifetime, over-and-above all-cause cancer risk, associated with carcinogen exposure. Uncertainties associated with RCs are discussed in FGR 13 and in a joint report published by EPA and Oak Ridge National Laboratory, but statistical distributions for the RCs were not directly developed. The uncertainty assessments in the EPA/ONRL report were based on dosimetric modeling and elicitation of nine experts. From these sources, five uncertainty categories were defined based on ratios of the 5. and 95. quantiles of uncertainty. Thus, the representations of uncertainty defined by EPA/ORNL are not distributions in a traditional sense. Furthermore, the authors only addressed uncertainty in RCs for inhalation and ingestion pathways. We develop a methodology for assigning statistical distributions to EPA's published mortality RC values (i.e. to estimate the probability of dying from radiation-induced cancers) for the inhalation (slow, medium, and fast absorption types), ingestion (water, food, and soil), and external exposure pathways associated with all cancer types. We employed the same dosimetric concepts and assumptions as EPA/ORNL, including cancer risk (dose-response) distributional information from a previous expert elicitation, which was also employed by EPA/ORNL in their work. We assumed that uncertainty in RCs can be described by lognormal distributions based on the modeling conducted previously by EPA/ORNL, and that point estimates tabulated in FGR 13 represent median values of the distributions. We also extended EPA/ORNL's uncertainty ratios to statistical distributions for external exposure RCs. The results are a set of radionuclide-specific distributions that are applicable in PAs that focus on cancer mortality. These distributions are currently and will subsequently be employed in PAs at various sites, in addition to the required regulatory dose limits. Quantification of ILCRs and associated uncertainty in PAs will provide regulators and the public with additional information for good decision making. Future directions include further refinement of the distributions and development of statistical distributions for morbidity RCs, which are used to estimate the probability of developing, but not necessarily dying as a result of, radiation-induced cancer. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2017

Regional distribution of large blowdown patches across Amazonia in 2005 caused by a single convective squall line: Distribution of Amazonia Blowdown Damage

In mid-January 2005 a convective squall line traversed 4.5 × 10 6 km 2 of Amazonia from southwest to northeast. As seen in Landsat images, this atypical convective storm left blowdown imprints with diffuse geometry, unlike the fan-shaped wind disturbance of much more frequent east-to-west propagating squall lines. Previous work reported 0.2% of the forest area damaged by this one relatively rare event within one Landsat image and assumed similar disturbance across the entire traverse. Here, we mapped convective wind damage impact to the region in 2005 by identifying large-scale (>4 ha) blowdown imprints in 30 Landsat images. The diffuse-type imprints associated with this single squall line contributed up to 60–72% of total 2005 wind-disturbed area detected across the region, but damage was highly concentrated in central Amazonia. Consequently, the distribution of large wind damage patches in 2005 across Amazonia was very different from long-term average. In conclusion, tegional distribution of wind-driven tree mortality for smaller patch sizes remains unknown.

54 ENVIRONMENTAL SCIENCES↗
DOE OSTI2015

Neuroimaging in adult penetrating brain injury: a guide for radiographers

Penetrating brain injuries (PBI) are a medical emergency, often resulting in complex damage and high mortality rates. Neuroimaging is essential to evaluate the location and extent of injuries, and to manage them accordingly. Currently, a myriad of imaging modalities are included in the diagnostic workup for adult PBI, including skull radiography, computed tomography (CT), magnetic resonance imaging (MRI) and angiography, with each modality providing their own particular benefits. This literature review explores the current modalities available for investigating PBI and aims to assist in decision making for the appropriate use of diagnostic imaging when presented with an adult PBI. Based on the current literature, the authors have developed an imaging pathway for adult penetrating brain injury that functions as both a learning tool and reference guide for radiographers and other health professionals. Currently, CT is recommended as the imaging modality of choice for the initial assessment of PBI patients, while MRI is important in the sub-acute setting where it aids prognosis prediction and rehabilitation planning, Additional follow-up imaging, such as angiography, should be dependent upon clinical findings.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2015

Review of deep inspiration breath-hold techniques for the treatment of breast cancer

Radiation treatment to the left breast is associated with increased cardiac morbidity and mortality. The deep inspiration breath-hold technique (DIBH) can decrease radiation dose delivered to the heart and this may facilitate the treatment of the internal mammary chain nodes. The aim of this review is to critically analyse the literature available in relation to breath-hold methods, implementation, utilisation, patient compliance, planning methods and treatment verification of the DIBH technique. Despite variation in the literature regarding the DIBH delivery method, patient coaching, visual feedback mechanisms and treatment verification, all methods of DIBH delivery reduce radiation dose to the heart. Further research is required to determine optimum protocols for patient training and treatment verification to ensure the technique is delivered successfully.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Factors affecting breeding season survival of Red-Headed Woodpeckers in South Carolina.

Red-headed woodpecker (Melanerpes erythrocephalus) populations have declined in the United States and Canada over the past 40 years. However, few demographic studies have been published on the species and none have addressed adult survival. During 2006-2007, we estimated survival probabilities of 80 radio-tagged red-headed woodpeckers during the breeding season in mature loblolly pine (Pinus taeda) forests in South Carolina. We used known-fate models in Program MARK to estimate survival within and between years and to evaluate the effects of foliar cover (number of available cover patches), snag density treatment (high density vs. low density), and sex and age of woodpeckers. Weekly survival probabilities followed a quadratic time trend, being lowest during mid-summer, which coincided with the late nestling and fledgling period. Avian predation, particularly by Cooper's (Accipiter cooperii) and sharp-shinned hawks (A. striatus), accounted for 85% of all mortalities. Our best-supported model estimated an 18-week breeding season survival probability of 0.72 (95% CI = 0.54-0.85) and indicated that the number of cover patches interacted with sex of woodpeckers to affect survival; females with few available cover patches had a lower probability of survival than either males or females with more cover patches. At the median number of cover patches available (n = 6), breeding season survival of females was 0.82 (95% CI = 0.54-0.94) and of males was 0.60 (95% CI = 0.42-0.76). The number of cover patches available to woodpeckers appeared in all 3 of our top models predicting weekly survival, providing further evidence that woodpecker survival was positively associated with availability of cover. Woodpecker survival was not associated with snag density. Our results suggest that protection of {ge}0.7 cover patches per ha during vegetation control activities in mature pine forests will benefit survival of this Partners In Flight Watch List species.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2021

Acoustic Exposure to Turbine Operation Quantifies Risk to Bats at Commercial Wind Energy Facilities

ABSTRACT Turbine‐related bat mortality at commercial wind energy facilities may threaten populations of migratory tree‐roosting bat species in North America. Industry stakeholders and regulatory agencies alike are investigating strategies to reduce risk of population‐level consequences as the wind energy industry grows. Bats collide with turbines only when turbine rotors are spinning and curtailing turbine operation at low wind speeds can effectively reduce bat fatality rates. Nonetheless, few quantitative data exist to determine appropriate threshold wind speeds below which turbine operations should be curtailed. Carcass monitoring is labor‐intensive and does not provide information on factors linked to bat fatality rates on any scale finer than nightly. We tested whether acoustic bat data recorded at turbine nacelles could provide a more precise and sensitive measure of fatality risk to bats by analyzing acoustics, weather, turbine operation, and carcass data collected at 2 commercial wind energy facilities in West Virginia over 7 years. Each wind facility implemented several distinct curtailment treatments during our study, allowing us to compare fatality rates and acoustic bat activity across multiple operational strategies. We found that bat passes exposed to turbine operation explained close to 80% of the variation in carcass‐based estimates of bat fatality rates and accounted for significant variation in raw carcass counts per turbine and probability of finding bat carcasses during individual turbine searches. Conversely, bat activity occurring when turbines were not operating had little or no relationship to fatality rates. We also found that patterns in bat activity exposure could be predicted accurately among turbines and years. Our results demonstrate that measuring exposure of acoustic bat activity provides a quantitative basis for designing, evaluating, and adaptively managing curtailment strategies. This is an important advance towards using curtailment to reduce bat fatality rates strategically while allowing for increased generation of renewable energy. © 2021 The Authors. Wildlife Society Bulletin published by Wiley Periodicals LLC on behalf of The Wildlife Society.

17 WIND ENERGY↗
DOE OSTI2019

Computed tomographic features of abdominal tuberculosis: unmask the impersonator!

Purpose: Abdominal tuberculosis (ATB) mimics various infectious, inflammatory, and neoplastic conditions and hence requires a high index of suspicion for accurate diagnosis, especially in low prevalence areas. It is difficult to consistently establish a histopathological diagnosis of ATB which underlines the importance of supportive evidences for institution of prompt empirical therapy to prevent associated morbidity and mortality. Methods: We retrospectively evaluated clinical and imaging features of 105 ATB cases and classified their CT findings based on peritoneal, lymph node, bowel, and solid organ involvement. Concomitant pulmonary and extra-pulmonary involvement was assessed. Results: Abdominal pain (78.1%) followed by fever (42.9%) were the commonest presenting symptoms. Peritoneal TB (77.14%) most commonly presented with a mix of ascites (49.38%), peritoneal (28.40%), and omental involvement (27.16%). Lymphadenopathy (57.1%) most commonly presented as necrotic nodes (81.67%) at mesenteric, peripancreatic, periportal, and upper paraaortic regions. Commonest site of bowel involvement (cumulative of 62.85%) was ileocecal region, with the commonest pattern of involvement being circumferential bowel wall thickening without bowel stratification with mild luminal narrowing. Hepatic (13.33%) and splenic (16.2%) involvement predominantly presented as multiple microabscesses. Adrenal and pancreatic involvement was noted in 4.7% and 1.9% of patients, respectively. 38.1% patients showed concomitant pulmonary and extra-pulmonary TB. Conclusion: ATB has varied radiological features; however, peritoneal involvement in the form of mild ascites, smooth peritoneal thickening, smudgy omentum, multi-focal bowel involvement, necrotic nodes, and multiple visceral microabscesses point towards a diagnosis of ATB in appropriate clinical setting.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2019

Locally recurrent rectal cancer: what the radiologist should know

Despite advances in surgical techniques and chemoradiation therapy, recurrent rectal cancer remains a cause of morbidity and mortality. After successful treatment of rectal cancer, patients are typically enrolled in a surveillance strategy that includes imaging as studies have shown improved prognosis when recurrent rectal cancer is detected during imaging surveillance versus based on development of symptoms. Additionally, patients who experience a complete clinical response with chemoradiation therapy may elect to enroll in a “watch-and-wait” strategy that includes imaging surveillance rather than surgical resection. Factors that increase the likelihood of recurrence, patterns of recurrence, and the imaging appearances of recurrent rectal cancer are reviewed with a focus on CT, PET CT, and MR imaging.

62 RADIOLOGY AND NUCLEAR MEDICINE↗