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NASA NTRSDate not supplied

Crowdsourcing for Innovative Personal Protection Technology

Personal protective equipment (PPE) plays a vital role in safeguarding workers from workplace hazards and minimizing exposure to harmful substances or conditions. To meet the changing needs and challenges faced by workers in various industries, PPE is continuously evolving. As new technologies emerge, advances in materials, design, and functionality contribute to PPE improvements. By incorporating personal protective technology (PPT) into traditional PPE, worker safety and well-being can be further enhanced. Crowdsourcing can harness a wide range of perspectives and expertise to identify novel technologies, materials, designs, or applications that can revolutionize PPE and improve worker protection. Partnering with the National Aeronautics and Space Administration (NASA) Center for Center of Excellence for Collaborative Innovation (CoECI), the National Institute for Occupational Safety and Health (NIOSH) National Personal Protection Technology Laboratory (NPPTL) launched three crowdsourcing challenges. These challenges aimed to promote innovation in several PPE areas: protective clothing, counterfeit respirators, and respirator fit. Preliminary results produced promising technologies and approaches promoting improved awareness, comfort, adaptability, and effectiveness against workplace hazards.

crowdsourcing↗

NASA NTRSDate not supplied

How Can NASA Science Benefit Solar Energy Development and Assessment?

This is a keynote presentation for a workshop highlighting the use of remote sensing and modeling products derived with NASA missions and Earth system modeling for solar energy system development. We broadly introduce NASA's fleet of satellite producing publicly available data products that would be useful for the information needed solar energy development. We also introduce the work in Earth system science modeling that provides additional global gridded data products that are also relevant. We identify that one issue is obtaining and using this data is the level of expertise needed to find it. NASA has developed a new Earth Action program to address this gap and bring the data closer to the user. Now under the Energy Resources element, the NASA LaRC's POWER (Prediction of Worldwide Renewable Energy) project has developed a web services platform that provides key information needed for solar energy development as analysis-ready. This means that the data for particular locations are immediately useful for help provide the information needed by engineers and architects to plan for solar systems. Thus, the presentation shows why NASA products would be relevant and then shows examples of finding the needed data through the POWER web portal.

remote sensing↗

NASA NTRSDate not supplied

Real-Time Science Decisioning During High Tempo-High Intensity Mission Operations and the Role of Analogs

Introduction: NASA’s VIPER mission presents a unique operational paradigm within the history of robotic spaceflight. The proximity of the Moon to the Earth and the terrain elements (surface characteristics, light/shadow dynamics, communication links) of the lunar South Polar landing site create unprecedented operational conditions between these two planetary bodies. Apollo era lunar science and exploration included humans in situ to operate instruments and assimilate observational inputs in real-time. Previous lunar orbital missions have worked to operational timescales, e.g., decisional timelines and communication exchanges, that were weeks in length. Mars rover missions have worked to operational timescales, e.g., decisional timelines and communication exchanges between Mars and Earth, that were hours, days, and weeks in length. In the case of the VIPER mission, our operational decisioning for rover driving and instrument commanding will be compressed to minute-scale timeframes. These operational conditions directly impact the manner and speed with which the VIPER Science Team (VST) is required to synthesize and analyze data and produce timely science-driven decisions throughout surface mission operations. The VST shall provide mission enhancing scientific input to guide rover traverse planning and drill site confirmation and selection throughout surface operations. Further, the VST input will be of vital importance to the mission’s ability to maximize science return and to meet broader NASA objectives for future lunar in-situ resource utilization (ISRU)and exploration activities. The VST co-located in the Mission Science Center (MSC) will be responsive to the tactical operational cadence of the Mission Operations Center (MOC) and will provide further strategic and Long-Term Planning (LTP) guidance to the mission. The VIPER Science Operations & Integration(SO&I)team has developed an architecture that is focused on the infusion of science-decisioning into the operational framework and execution cadence of VIPER. NASA analog research has played a significant role in the construction of the VIPER science operations systems. As an example, the SO&I team has led analog missions that have focused on bringing together expertise in the sciences (natural, applied and social) and in operations in service of learning how to build and hold together interdisciplinary work environments and what tools are needed to support high tempo, high intensity integrated decisioning. These experiences have provided an essential foundation of knowledge to the VIPER team. Those analogs that specifically influenced the VIPER science operations construct were identified through a process of comparative analysis to prioritize those that offered relevance in whole or in part, and those that did not. The analog research output that provided extensibility to the VIPER science operations architecture included remote teams of humans and robots in cooperation (synchronous and asynchronous) with simulated earthbound systems, engineering and science teams, and the integrated assembly of tools that supported scientific analysis and data synthesis and provided infrastructure for the remote testing framework. Analogs which included real-time data monitoring, synthesis, visualization and access in a democratized and operationalized manner were of particular interest to the development of the VIPER MSC toolset both in terms of the technology and the processes used to develop the supporting infrastructure. We anticipate that each subsequent mission to the lunar south pole, whether with robots or humans, will be able to optimize science and exploration return by evolving strategies to infuse real-time collaborative science-decisioning. Furthermore, these efforts will result in a foundation for science operations development in support of human-robotic exploration of deep space and Mars. NASA analogs can continue to provide the opportunity to prepare, test and iterate on the operational concepts and tools that will support these ever-expanding space exploration efforts. Our presentation will include an overview of the VIPER Science Operations & Integration development process and specifics on what aspects of analog research have had a significant impact on our work systems.

D S S Lim↗

NASA NTRSDate not supplied

Force Measurement for Wind Tunnel Facilities - Current Practices and Research Investments

This presentation will provide an introduction to strain gage balances (force transducers) used in NASA’s wind tunnel facilities. It will cover the breadth of wind tunnel applications using balances ranging from cryogenic facilities to facilities with aero heating affects. Specific areas of expertise including six-component balance design and calibration will also be discussed. Moreover, research areas including additive manufacturing of wind tunnel balances, the development of topology optimization tools to produce novel force transducer geometries, and dynamic force measurement will also be highlighted.

Wind tunnel balance↗

NASA NTRS2025

Identifying Cognitive Capabilities Required for Optimal Exploration EVA Performance: A Cognitive Task Analysis

BACKGROUND Extravehicular activity (EVA) is one of the most dangerous and cognitively demanding actions that astronauts can execute, and the cognitive demands associated with future exploration EVA on the Moon and Mars are expected to be higher compared to EVA currently conducted from the International Space Station (ISS). Decrements in cognitive performance present an important risk to crew safety during exploration mission class EVA. Yet there is currently insufficient characterization of the cognitive capabilities required prior to, during, and following EVA. Furthermore, it is unclear which cognitive domains are most important for conducting mission critical decisions with crew safety implications. To address this gap, we conducted a cognitive task analysis of exploration EVA to characterize the cognitive capabilities, critical safety decisions, and contributing factors (e.g., lunar communications delay) important to monitor for optimal performance in future exploration EVA. This cognitive task analysis was conducted through interviews with astronauts and subject matter experts in EVA research and operations. Interviews focused on exploration EVA and elicited feedback on the cognitive capabilities required for specific EVA tasks and subtasks. The information from this cognitive task analysis will help close the gap in our understanding of the key cognitive capabilities required for safe decision-making during exploration mission class EVA on the Moon and Mars. METHOD We used an applied cognitive task analysis method1 over the course of interviews with a total of 15 NASA astronauts and subject matter experts in EVA. Each interview was led by a scientist with expertise in cognitive neuroscience from the Behavioral Health & Performance (BHP) Laboratory at NASA Johnson Space Center. Notes were taken by a research coordinator in the BHP Laboratory and interviews were recorded on Microsoft Teams to ensure the accuracy of notetaking. In the first interview protocol, participants were asked about the specific tasks and cognitive demands associated with EVA. This provided a high-level overview of the steps involved in the major tasks conducted during exploration EVA, as well as which of the steps require the most cognitive skill. Next, participants completed a knowledge audit, which employs a set of probes designed to describe types of domain knowledge of skill and elicit appropriate examples. In the second interview protocol, completed with a separate set of subject matter experts, interviewees were asked to complete a simulated incapacitated crew rescue (ICR) scenario2, which provided specific context that allowed probing around relevant issues such as situational awareness and potential errors. Experts were then asked to identify the knowledge, skills, and abilities (KSAs) underlying each EVA task and to provide ratings on the importance and cognitive demand of each KSA. Finally, participants also described the most likely and consequential critical safety incidents related to decrements in cognitive performance during exploration EVA and assessed the impact of lunar communication delay on cognitive performance. RESULTS & DISCUSSION Interviews for this cognitive task analysis are nearly complete and results will be presented in full at IWS 2025. Results will include a summary of all expert ratings of EVA tasks and subtasks, qualitative summaries of content from each interview part, and a discussion of future directions for products addressing cognitive performance monitoring and cognitive domain mapping in exploration EVA.

S R Anderson↗

NASA NTRSDate not supplied

Fundamental Research to Enable In-Situ Resource Utilization for NASA’s Artemis Program and Beyond Taking Place at The Glenn Research Center

In Situ Resource Utilization (ISRU) is regarded by many to be the key to future sustainability in space. The National Aeronautics & Space Administration’s (NASA) Space Technology Mission Directorate (STMD) recently published a list of ranked technology shortfalls. ISRU specific capabilities of ‘Extraction and separation of water from extraterrestrial surface material’, ‘Extraction and separation of oxygen from extraterrestrial surface material’, and ‘Produce propellants and mission consumables from extracted in-situ resources’ are within the top 80 shortfalls identified. A team of researchers and engineers at NASA’s Glenn Research Center (GRC) in Cleveland, Ohio, are performing fundamental research and technology maturation to ensure concepts and technologies are ready to support when the mission architecture is primed for ISRU to activate. Through analytical modeling and initial lab-scale testing, researchers are establishing concepts that mature to more sophisticated tests in relevant environments. Numerous studies are underway assessing fundamental behaviors of regolith during various steps of a conceptual ISRU production plant. This paper shares some of GRC’s recent advancements in ISRU research and technology development, in the hopes of providing valuable information to the ISRU community at large, spark ideas for future collaborative endeavors, as well as spur interest in utilizing some of the world-class expertise and facilities GRC has to offer.

ISRU↗

NASA NTRS2025

Assessing the Added Value of Miniature X-Ray in the Setting of Portable Ultrasound in Spaceflight

INTRODUCTION: Point-of-care ultrasound (POCUS) has become the standard of care for imaging diagnosis and management in low-Earth Orbit (LEO) spaceflight and it has long been hypothesized that POCUS will also be the standard of care for exploration spaceflight. However, like the trajectory for which ultrasound became more portable and user-friendly, the mass, volume, and power requirements of radiography devices for both diagnostic and therapeutic applications have also been dramatically reduced. This study seeks to determine the clinical utility and added value of miniature x-ray (XR) for the diagnosis and management of each of the 119 conditions within NASA Exploration Medical Capability’s IMPACT Condition List (ICL) given that the medical system is presumed to already be carrying a handheld portable POCUS device. METHODS: For each condition, a team of reviewers performed a rapid systematic literature review seeking sensitivity and specificity data for both handheld portable ultrasound and miniature XR. When there was a paucity of data, subject matter expertise and clinical experience was added to semi-quantitatively score the added value of miniature XR, given an US was already available for both diagnosis and management. Diagnostic utility of a modality for a condition was evaluated in the setting of both the best- and worst-case scenario definitions included and defined by the ICL. Evidence tracing and quality of evidence scores were also recorded. RESULTS/DISCUSSION: Conditions for which it was determined that miniature XR added diagnostic or therapeutic value are provided in this presentation. Previously presented work by our team has demonstrated that XR provides diagnostic and management capabilities that are hypothesized to complement or surpass ultrasound for over one-third of medical conditions that may arise during exploration spaceflight (i.e., diagnosis of injuries to the axial skeleton, teeth, and lungs as well as management of orthopedic reductions, endotracheal tube placement, and drain placement confirmation). In the setting of known inclusion of a handheld portable POCUS device, there remains significant added value of portable miniature XR. Whether or not this added clinical benefit is worth the mass, volume, and power requirements of the radiography system remains yet unknown and is the focus of future work. LEARNING OBJECTIVES: 1) Understand the value of ultrasound and radiography in the diagnosis and management of medical comorbidities that may arise in exploration spaceflight; 2) Understand the medical conditions of highest concern on exploration class missions for which miniature x-ray may provide added value to portable ultrasound.

J G Steller↗

NASA NTRSDate not supplied

Applying Satellite Data to Support Disaster Response and Emergency Management Decision Making

Using the vantage point of space, satellite observations provide information about the Earth that can serve a critical role in building situational awareness and filling in data gaps during disaster response. NASA’s Earth Science Division ( studies the Earth as a system and develops technologies to improve the quality of life here on our home planet. Within NASA ESD, the Disasters Program and its Disasters Response Coordination System (DRCS) aims to advance Earth science data and information to support management decisions that prevent or mitigate the impacts of disasters. Using a whole-of-NASA approach to coordinate and mobilize the Agency’s assets and expertise to provide geospatial information during disasters, this work brings the utility of Earth observation information to emergency management and disaster response and reduces the impacts of disasters on lives and livelihoods .This poster will introduce the utility of satellite and geospatial information to disaster response through examples of recent DRCS incident response activations and highlight the DRCS model that employs a user-centered activation framework beginning with direct requests from responders and ending with after-action assessments that feed lessons learned and process improvements.

Remote Sensing↗

NASA NTRSDate not supplied

Computational Fluid Dynamics Simulation of A Hazardous Gas Purge System in an EUS Aft Adapter Umbilical Plate Concept

The Fluid Dynamics Branch at the NASA Marshall Space Flight Center actively supports flight programs through a variety of in-line analyses. One area of expertise is the mitigation of hazardous gas mixtures that may form during nominal vehicle fueling operation. After the successful Artemis I launch, design cycles for future iterations of the vehicle are in progress. The subject of this work concerns the analysis of a hazardous gas mitigation system concept for a future upper stage.

Riley D Bridges↗

NASA NTRSDate not supplied

Extraordinary Accomplishments of the In Space Production Applications Portfolio in 2024

The purpose of the NASA In-Space Production Applications (InSPA) program is to provide funding and expertise to help brilliant United States innovators and businesses traverse the technology “Valley of Death” by proving out their concepts for in-space manufactured materials and products that will ultimately be sold to customers on the Earth. Scientific and technological advances on the International Space Station (ISS) and on Earth coupled with evolving societal needs are collectively enabling InSPA-funded teams to produce data streams and advanced biological, chemical, and physical materials solutions with economic value. We report on an extraordinary year of accomplishments on the ISS and highlight top InSPA and ISS National Lab results that span historic firsts in cancer research, stem cells, crystal production, optical fiber production, drug discovery, in-space treatments with RNA therapeutics, and production of artificial retinas from space. We assert that the results have enormous potential, are transforming the space exploration ecosystem and are the “seeds” of a microgravity industrial revolution that are shaping national microgravity strategy.

in spa↗

NASA NTRSDate not supplied

The NASA Disasters Response Coordination System’s (DRCS) Response to the 2024 Hurricane Season

The National Aeronautics and Space Administration (NASA) Disasters Response Coordination System (DRCS) leverages the best available science and expertise to aid federal, state, local, and non-governmental organization (NGO) partners in addressing identified needs during a disaster response. During the 2024 hurricane season, the DRCS activated for seven hurricanes/tropical storms, providing openly available geospatial data through NASA’s Disasters Mapping Portal. Hurricanes Helene and Milton were major hurricanes that impacted the southeastern United States within weeks of one another. Impacts from Helene and Milton to the region included inland flooding, record coastal storm surge, over a thousand landslides, and regional power and telecommunications outages. In response to Helene and Milton, DRCS provided actionable information and products to stakeholders, including Synthetic Aperture Radar (SAR) analysis for landslide and flood detection, Black Marble nighttime lights products for assessing power outages, and Normalized Difference Vegetation Index (NDVI) analysis for post-event vegetation change detection. NASA deployed an Uninhibited Aerial Vehicle SAR (UAVSAR) instrument to collect data on flood extent, providing crucial information on affected communities. Additionally, astronauts aboard the International Space Station (ISS) collected hand-held photography along the paths of Hurricane Helene and Milton to aid in response efforts. Here, we summarize the DRCS responses to Helene and Milton, in particular highlighting the information and products that were provided by the DRCS and how they were utilized by partners to address immediate response needs.

Earth observations↗

NASA NTRSDate not supplied

Informing Disaster Response through Earth Observation: A User-Centric Model for Enhancing Disaster Response Using Geospatial Assets

Satellite observations can provide critical insights to building situational awareness and filling data gaps during disaster response. The National Aeronautics and Space Administration (NASA) Earth Science Division’s Disasters Program aims to advance Earth science data and information to support management decisions that prevent or mitigate the impacts of disasters. In support of this goal, NASA’s Disasters Response Coordination System (DRCS) employs a “One NASA” approach to coordinate and mobilize the Agency’s assets and expertise to provide geospatial information during disasters. The DRCS advances the utility of Earth observation information for supporting disaster response needs and builds skills in the emergency management and disaster response communities through improved coordination, engagement, and learning. The DRCS aims to support reduction of impact to lives and livelihoods by empowering communities to more effectively respond to disasters. The DRCS is organized across six NASA centers and managed by a project office located at NASA Langley, working in alignment with NASA Headquarters. The DRCS employs a user-centered framework that begins with requests from disaster responders (state, local, federal government and non-profits working at a national scale) and ends with after-action assessments that feed lessons learned and process improvements. This poster introduces the DRCS model and approach to expanding the use of Earth observations and geospatial information to support disaster response, share use cases for recent event activations working with decision-making organizations, and highlight initial lessons learned.

Remote Sensing↗

NASA NTRSDate not supplied

Computational Fluid Dynamics Simulation of A Hazardous Gas Purge System in an EUS Aft Adapter Umbilical Plate Concept

Riley Bridges↗

NASA NTRSDate not supplied

Planning for a Large Space Weather Event: Preparation for and Lessons Learned from the 2024 Space Weather Interagency Tabletop Exercise

On May 8-9 2024, the Space Radiation Analysis Group (SRAG) at NASA/Johnson Space Center participated in a joint exercise with DoD, FEMA, OSTP, DOE and other agencies to assess their ability to respond to a large hypothetical space weather event. SRAG is a uniquely skilled group of scientists and engineers tasked with mitigating impacts of radiation exposure to the astronaut crew aboard the International Space Station and upcoming missions beyond Low Earth Orbit (LEO). In meeting this objective, the team has developed expertise in both modeling the impacts of an enhanced space environment and in the real-time operational support of the Flight Control Team when assessing a response to the environment. Several members of SRAG worked with the Tabletop Exercise (TTX) planners to define a realistic large event and to model the resulting radiation exposure on an Artemis crew. SRAG members participating in the TTX were blinded to the results of this analysis. As the event unfolded during the TTX, SRAG provided their assessment of the likely impact on the crew and recommendations for crew actions. During the exercise, the team tracked lessons learned for their own planning, currently in work, for Artemis-II and subsequent missions.

Janet Barzilla↗

NASA NTRSDate not supplied

Governing Data Findability, Accessibility, Interoperability and Reusability (FAIR) Compliance

The most recent data strategy documents at both the federal and NASA levels stipulate that systems should strive for the data they manage to be Findable, Accessible, Interoperable, and Reusable (FAIR). The NASA Life Sciences Portal (NLSP) has already begun leading efforts in this area for HRP, initiating efforts to comply with the FAIR principles. The broad interpretation of the FAIR principles has led to a plethora of tools that use a splay of metrics specifically but variably developed to judge how compliant data and systems are with the principles. A recent review [3] identified and studied 1,180 metrics across 20 publicly available tools for checking FAIR compliance of data and systems. Because of their very recent development, many organizations and data systems managers and developers have not yet had adequate time or resources to understand these FAIR compliance tools and metrics, their variations in design, accuracy or ease of application to their specific data sets and systems. Thus, it would be best for larger organizations like NASA to approach formulating a strategy for governance of FAIR compliance that can be flexibly applied and is adaptable to an evolving awareness knowledge of FAIR compliance methods and tools. In September 2024, the NASA Science Mission Directorate(SMD) organized a workshop on NASA science data repositories, including the topics of implementing FAIR and governing FAIR compliance across SMD. The initial part of these FAIR discussions focused on developing consensus around required science metadata fields. This is challenging given the diverse nature of NASA’s scientific data portfolio, the variety of metadata models and vocabularies used, and variable level of resources available to curate these data. Later discussion focused on three possible approaches to governing FAIR compliance: distributed, in which various programs, projects or systems define their own methods for assessing FAIR compliance, reporting results up appropriate management lines; centralized, in which higher-level organization(s) specify compliance tools or methods for the various data systems; and multi-level, in which a group comprised of individuals with expertise from multiple levels with organizations is formed to provide guidance and/or specifications for governing FAIR compliance. We report on the recommendations this session yielded, and how these might be shaped specifically to help implement and govern the compliance with FAIR of Human Research Program data and systems.

governance↗

NASA NTRSDate not supplied

Incorporation of Human Risk Directed Acyclic Graphs (DAG) With Mishap Investigations to Un-Silo Knowledge

NASA’s Human System Risk Board (HSRB) has been a central driver in efforts to understand, mitigate, and communicate the 29 human systems risks monitored by the board. As a result of the collaboration between research, operations, and technical authorities, large bodies of knowledge have been collected and digested to represent the current understanding of the risks. As a part of these bodies of knowledge, directed acyclic graphs (DAGs) have been developed to communicate the current understanding of the causal relationship of the hazards, contributing factors, countermeasures, other risks, and outcomes that contribute to the overall risk. This risk knowledge is applied in a theoretical sense for potential incidents during exploration even while informed by surveillance data. However, there have been mishaps and close calls during past space exploration that intersect with one or more of the Human System Risks DAGs and knowledge bases. The purpose of this exercise was to un-silo this risk knowledge and connect it to the close call of EVA 23 through the development of a DAG representing the intersection of the HSRB Risks and the events of the close call. The development of the DAG occurred through an iterative process, with each iteration expanding and/or refining the nodes and connections described by the source materials. In addition to the risk documentation developed by the HSRB, lessons learned and other mishap investigation documents were utilized to understand the events that led to water entering the helmet of a crewmember on the EVA. New nodes specific to the events of EVA 23 were interconnected with existing HSRB DAG nodes and edges. Nodes within the DAG were defined within a “DAG-tionary” with any updates to a definition that may have previously existed from the HSRB DAGs, and edges were recorded in a matrix. Both the DAG-tionary and matrix describe where nodes and edges are present across the Risk and Mishap DAG. This DAG will then be reviewed by experts outside of HSRB and HRP to confirm that interpretations of the non-health related events (such as the engineering nodes) are represented accurately. DISCUSSION This process highlighted a method by which the knowledge generated among the contributing members of the HSRB Risks can be effectively adapted and utilized through the tools employed by the Risk Custodian teams. By leveraging these tools, new context and insights to the information at hand can be brought forward to address current spaceflight challenges. Moreover, un-siloing this knowledge through future DAGs and other efforts can drive interprofessional collaboration and foster communication. This will enable teams to work together more effectively, leveraging their diverse expertise to tackle the complex challenges of space exploration and human research. Ultimately, this collaboration will bring NASA closer to achieve agency goals and contribute to the overall shared mission and vision.

Samuel Jacobs↗

NASA NTRS2025

Rolling DICE to Advance Knowledge of Land-Atmosphere Interactions

The Diurnal Land-Atmosphere Coupling Experiment (DICE) aims to explore the complex interactions between the land surface and atmospheric boundary layer, which are generally not well understood and difficult to isolate in models. The project involves over 10 different models, combining expertise from both land surface and atmospheric boundary-layer modelling groups. A simple three-stage methodology is designed to assess land-atmosphere feedbacks. Stage 1: the individual components are assessed in isolation, driven and evaluated against observational data; stage 2: the impact of coupling is investigated; stage 3: the sensitivity of the stand-alone models to variations in driving data is explored. For this initial study, a three-day clear-sky period in the mid-west USA over, an assumed simple, predominantly grass surface was simulated using data from the CASES-99 field campaign. Key conclusions from the study include: (1) the memory of vegetation state within Land Surface Models (LSMs) needs attention; (2) the height of atmospheric forcing for LSMs is important, particularly for the nocturnal boundary layer, and this has implications for both observations and vertical resolution for atmospheric models; (3) land-atmosphere feedbacks reduce errors in simulated surface fluxes at the expense of the accuracy of the variables that the models are designed to simulate (e.g., temperature, humidity and wind speed); (4) problems remain in representing the stable boundary layer in atmospheric models; (5) the mixing of temperature and humidity within the boundary layer may need to be represented separately; (6) differences in daytime profiles of heat, moisture and momentum between models are mainly due to the way the models erode the inversion at the top of the boundary layer, rather than differences in the surface fluxes. Resultant variations in modelled boundary layer heights have a substantial impact on relative humidity and could partially explain variations in coupling strength between models in the GLACE experiment.

Martin Best↗

NASA NTRSDate not supplied

Assessing the Added Value of Miniature X-Ray in the Setting of US in Spaceflight

INTRODUCTION: Point-of-care ultrasound (POCUS) has become the standard of care for imaging diagnosis and management in lowEarth Orbit (LEO) spaceflight and it has long been hypothesized that POCUS will also be the standard of care for exploration spaceflight. However, like the trajectory for which ultrasound became more portable and user-friendly, the mass, volume, and power requirements of radiography devices for both diagnostic and therapeutic applications have also been dramatically reduced. This study seeks to determine the clinical utility and added value of miniature x-ray (XR) for the diagnosis and management of each of the 119 conditions within NASA Exploration Medical Capability’s IMPACT Condition List (ICL) given that the medical system is presumed to already be carrying a handheld portable POCUS device. METHODS: For each condition, a team of reviewers performed a rapid systematic literature review seeking sensitivity and specificity data for both handheld portable ultrasound and miniature XR. When there was a paucity of data, subject matter expertise and clinical experience was added to semi-quantitatively score the added value of miniature XR, given an US was already available for both diagnosis and management. Diagnostic utility of a modality for a condition was evaluated in the setting of both the best- and worst-case scenario definitions included and defined by the ICL. Evidence tracing and quality of evidence scores were also recorded. RESULTS/DISCUSSION: Conditions for which it was determined that miniature XR added diagnostic or therapeutic value are provided in this presentation. Previously presented work by our team has demonstrated that XR provides diagnostic and management capabilities that are hypothesized to complement or surpass ultrasound for over one-third of medical conditions that may arise during exploration spaceflight (i.e., diagnosis of injuries to the axial skeleton, teeth, and lungs as well as management of orthopedic reductions, endotracheal tube placement, and drain placement confirmation). In the setting of known inclusion of a handheld portable POCUS device, there remains significant added value of portable miniature XR. Whether or not this added clinical benefit is worth the mass, volume, and power requirements of the radiography system remains yet unknown and is the focus of future work. LEARNING OBJECTIVES: 1) Understand the value of ultrasound and radiography in the diagnosis and management of medical comorbidities that may arise in exploration spaceflight; 2) Understand the medical conditions of highest concern on exploration class missions for which miniature x-ray may provide added value to portable ultrasound.

Jon Steller↗