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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 217 records · Page 12
All sourcesNASA NTRSDOE OSTI
DOE OSTI2024

"Reinforcement Learning Based Oscillation Dampening: Scaling up Single-Agent RL algorithms to a 100 AV highway field operational test"

In this article, we explore the technical details of the reinforcement learning (RL) algorithms that were deployed in the largest field test of automated vehicles designed to smooth traffic flow in history as of 2023, uncovering the challenges and breakthroughs that come with developing RL controllers for automated vehicles. We delve into the fundamental concepts behind RL algorithms and their application in the context of self-driving cars, discussing the developmental process from simulation to deployment in detail, from designing simulators to reward function shaping. We present the results in both simulation and deployment, discussing the flow-smoothing benefits of the RL controller. From understanding the basics of Markov decision processes to exploring advanced techniques such as deep RL, our article offers a comprehensive overview and deep dive of the theoretical foundations and practical implementations driving this rapidly evolving field. We also showcase real-world case studies and alternative research projects that highlight the impact of RL controllers in revolutionizing autonomous driving. From tackling complex urban environments to dealing with unpredictable traffic scenarios, these intelligent controllers are pushing the boundaries of what automated vehicles can achieve. Furthermore, we examine the safety considerations and hardware-focused technical details surrounding deployment of RL controllers into automated vehicles. As these algorithms learn and evolve through interactions with the environment, ensuring their behavior aligns with safety standards becomes crucial. We explore the methodologies and frameworks being developed to address these challenges, emphasizing the importance of building reliable control systems for automated vehicles.

Jang, Kathy↗
DOE OSTI2021

Quantifying microbial control of soil organic matter dynamics at macrosystem scales

Soil organic matter (SOM) stocks, decomposition and persistence are largely the product of controls that act locally. Yet the controls are shaped and interact at multiple spatiotemporal scales, from which macrosystem patterns in SOM emerge. Theory on SOM turnover recognizes the resulting spatial and temporal conditionality in the effect sizes of controls that play out across macrosystems, and couples them through evolutionary and community assembly processes. For example, climate history shapes plant functional traits, which in turn interact with contemporary climate to influence SOM dynamics. Selection and assembly also shape the functional traits of soil decomposer communities, but it is less clear how in turn these traits influence temporal macrosystem patterns in SOM turnover. Here, we review evidence that establishes the expectation that selection and assembly should generate decomposer communities across macrosystems that have distinct functional effects on SOM dynamics. Representation of this knowledge in soil biogeochemical models affects the magnitude and direction of projected SOM responses under global change. Yet there is high uncertainty and low confidence in these projections. To address these issues, we make the case that a coordinated set of empirical practices are required which necessitate (1) greater use of statistical approaches in biogeochemistry that are suited to causative inference; (2) long-term, macrosystem-scale, observational and experimental networks to reveal conditionality in effect sizes, and embedded correlation, in controls on SOM turnover; and (3) use of multiple measurement grains to capture local- and macroscale variation in controls and outcomes, to avoid obscuring causative understanding through data aggregation. Here, when employed together, along with process-based models to synthesize knowledge and guide further empirical work, we believe these practices will rapidly advance understanding of microbial controls on SOM and improve carbon cycle projections that guide policies on climate adaptation and mitigation.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2026

Observation of Synchronization between Two Quantum van der Pol Oscillators in Trapped Ions

Synchronization is a hallmark of collective behavior that emerges when nonlinear systems interact, spanning scales from mechanical oscillators to planetary orbits. As a universal phenomenon, it underpins the study of complex systems and has far-reaching technological implications. While classical synchronization has a long and rich history, it has not been observed experimentally between multiple quantum limit-cycle oscillators despite a decade of theoretical investigations. We realize synchronization between two quantum van der Pol oscillators by engineering dissipation in a mixed-isotope trapped-ion quantum simulator. The synchronized state is encoded in a fixed relative phase between the oscillators that is inaccessible to individual measurements and revealed only through joint readout of both oscillators, in stark contrast to the system in the (deterministic) classical limit where synchronization can be observed via individual phase measurements. We further show that the relative phase can be precisely controlled and that the chain of two oscillators can synchronize to an external field, suggesting applications in sensing. Our results provide a promising pathway for studying more complex synchronized quantum dynamics beyond two oscillators, where a theoretical treatment becomes increasingly challenging, and it remains to be understood whether genuinely quantum features persist in such cases.

Liu, Jiarui↗
DOE OSTI2022

Advanced Metering Infrastructure for Distribution Planning and Operation: Closing the Loop on Grid-Edge Visibility

In the recent history of electric utilities, the potential to have visibility of the grid edge is gaining significance for the reliable planning and operation of a clean energy smart grid. Before the recent large-scale customer adoption of distributed energy resources (DERs), distribution networks were planned with a simpler fit-and-forget philosophy. The importance of customer-sited DERs to achieve climate change goals marks a major shift for utility operations. Changes to traditional fit-and-forget planning paradigms require better availability of grid-edge data. Smart metering is an enterprise-wide tool that is enabling visibility when and where it has been most needed. As of 2020, the rollout of smart metering, or advanced metering infrastructure (AMI), had reached more than 100 million meters in the United States, and nearly half of all electricity customers are now equipped with a smart meter (Figure 1). Smart meters are quickly becoming a ubiquitous data capture feature of smart grids. AMI enables utilities to record and measure electricity usage and power-flow metrics at a minimum of hourly intervals and at least once a day. At a minimum, AMI enables interval metering, automatic meter reading enabling accurate and time-interval billing, and the ability to provide feedback on customer energy consumption.

advanced metering infrastructure↗
DOE OSTI2023

Contrasting patterns of sequence variation in steelhead populations reflect distinct evolutionary processes

Abstract Multiple evolutionary processes influence genome‐wide allele frequencies and quantifying effects of genetic drift, and multiple forms of selection remain challenging in natural populations. Here, we investigate variation at major effect loci in contrast to patterns of neutral drift across a wide collection of steelhead ( Oncorhynchus mykiss ) populations that have declined in abundance due to anthropogenic impacts. Whole‐genome resequencing of 74 populations of steelhead revealed genome‐wide patterns (~8 million SNPs) consistent with expected neutral population structure. However, allelic variation at major effect loci associated with adult migration timing (chromosome 28: GREB1L / ROCK1 ) and age at maturity (chromosome 25: SIX6 ) reflected how selection has acted on phenotypic variation in contrast with neutral structure. Variation at major effect loci was influenced by evolutionary processes with differing signals between the strongly divergent Coastal and Inland lineages, while allele frequencies within and among populations within the Inland lineage have been driven by local natural selection as well as recent anthropogenic influences. Recent anthropogenic effects appeared to have influenced the frequency of major effect alleles including artificial selection for specific traits in hatchery stocks with subsequent gene flow into natural populations. Selection from environmental factors at various scales has also likely influenced variation for major effect alleles. These results reveal evolutionary mechanisms that influence allele frequencies at major effect loci that are critical for conservation of phenotypic traits and life history variation of this protected species.

Willis, Stuart↗
DOE OSTI2023

Impact Report: Quantum Systems Accelerator

The Quantum Systems Accelerator (QSA) is a U.S. National Quantum Information Science Research Center established in August 2020 and funded by the Department of Energy (DOE) Office of Science. QSA is composed of 15 partner institutions— universities and national laboratories—bringing together pioneers of many of today’s unique quantum information science (QIS) and engineering capabilities. Led by Lawrence Berkeley National Laboratory (Berkeley Lab), with Sandia National Laboratories (Sandia Labs) as the lead partner, 250+ QSA researchers are catalyzing U.S. leadership in a fast-growing field that seeks solutions to the Nation’s and the world’s most pressing problems by harnessing the laws of quantum mechanics.

97 MATHEMATICS AND COMPUTING↗
DOE OSTI2022

Ultra long-term cosmology and astrophysics

In this work, we examine astronomical observations that would be achievable over a future timeline corresponding to the documented history of human civilization so far, ~ 10 4 years. We examine implications for measurements of the redshift drift, evolution of the CMB, and cosmic parallax. A number of events that are rare on the scale of centuries will become easily observable on a timescale ~ 10 4 years. Implications for several measurements related to gravity are discussed.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2021

No Evidence for Orbital Clustering in the Extreme Trans-Neptunian Objects

The apparent clustering in longitude of perihelion piv and ascending node Ω of extreme trans-Neptunian objects (ETNOs) has been attributed to the gravitational effects of an unseen 5–10 Earth-mass planet in the outer solar system. To investigate how selection bias may contribute to this clustering, we consider 14 ETNOs discovered by the Dark Energy Survey, the Outer Solar System Origins Survey, and the survey of Sheppard and Trujillo. Using each survey's published pointing history, depth, and TNO tracking selections, we calculate the joint probability that these objects are consistent with an underlying parent population with uniform distributions in $\bar{w}$ and Ω. We find that the mean scaled longitude of perihelion and orbital poles of the detected ETNOs are consistent with a uniform population at a level between 17% and 94% and thus conclude that this sample provides no evidence for angular clustering.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2024

Extensive Secondary Cratering From the InSight Sol 1034a Impact Event

Abstract Impact cratering is one of the fundamental processes throughout the history of the Solar System. The formation of new impact craters on planetary bodies has been observed with repeat images from orbiting satellites. However, the time gap between images is often large enough to preclude detailed analysis of smaller‐scale features such as secondary impact craters, which are often removed or buried over a short time period. Here we use a seismic event detected on Mars by the NASA InSight mission to investigate secondary cratering at a new impact crater. We strengthen the case that the seismic event that occurred on Sol 1034 (S1034a) is the result of a new impact cratering event. Using the exact timing of this event from InSight, we investigated the resulting new impact crater in orbital image data. The S1034a impact crater is approximately 9 m in diameter but is responsible for over 900 secondary impact events in the form of low albedo spots that are located at distances of up to almost 7 km from the primary crater. We suggest that the low albedo spots formed from relatively low energy ejecta, with individual ejecta block velocities less than 200 m s −1 . We estimate that the low albedo spots, the main evidence of secondary impact processes at this new impact event, fade within 200–300 days after formation.

Grindrod, P. M. [Natural History Museum London UK]↗
DOE OSTI2025

Reinforcement Learning-Based Oscillation Dampening: Scaling Up Single-Agent Reinforcement Learning Algorithms to a 100-Autonomous-Vehicle Highway Field Operational Test

In this article, we explore the technical details of the reinforcement learning (RL) algorithms that were deployed in the largest field test of automated vehicles designed to smooth traffic flow in history as of 2023, uncovering the challenges and breakthroughs that come with developing RL controllers for automated vehicles. We delve into the fundamental concepts behind RL algorithms and their application in the context of self-driving cars, discussing the developmental process from simulation to deployment in detail, from designing simulators to reward function shaping. We present the results in both simulation and deployment, discussing the flow-smoothing benefits of the RL controller. From understanding the basics of Markov decision processes to exploring advanced techniques such as deep RL, our article offers a comprehensive overview and deep dive of the theoretical foundations and practical implementations driving this rapidly evolving field. We also showcase real-world case studies and alternative research projects that highlight the impact of RL controllers in revolutionizing autonomous driving. From tackling complex urban environments to dealing with unpredictable traffic scenarios, these intelligent controllers are pushing the boundaries of what automated vehicles can achieve. Furthermore, we examine the safety considerations and hardware-focused technical details surrounding deployment of RL controllers into automated vehicles. As these algorithms learn and evolve through interactions with the environment, ensuring their behavior aligns with safety standards becomes crucial. Here, we explore the methodologies and frameworks being developed to address these challenges, emphasizing the importance of building reliable control systems for automated vehicles.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗
DOE OSTI2023

Comparative analysis of atmospheric parameters from high-resolution spectroscopic sky surveys: APOGEE, GALAH, Gaia -ESO

SDSS-IV APOGEE-2, GALAH, and Gaia-ESO are high-resolution, ground-based, multi-object spectroscopic surveys providing fundamental stellar atmospheric parameters and multiple elemental abundance ratios for hundreds of thousands of stars of the Milky Way. Data from these and other surveys contribute to investigations of the history and evolution of the Galaxy. We undertake a comparison between the most recent data releases of these surveys to investigate the accuracy and precision of derived parameters by placing the abundances on an absolute scale. We also discuss the correlations in parameter and abundance differences as a function of main parameters. Uncovering the variants provides a basis to continue the efforts of future sky surveys. Quality samples from the APOGEE-GALAH (15 537 stars), APOGEE-GES (804 stars), and GALAH-GES (441 stars) overlapping catalogs were collected. We investigated the mean variants between the surveys, and linear trends were also investigated. We compared the slope of correlations and mean differences with the reported uncertainties. The average and scatter of v rad , T eff , log g, [M/H], and v micro , along with numerous species of elemental abundances in the combined catalogs, show that in general there is a good agreement between the surveys. We find large radial velocity scatters ranging from 1.3 km s -1 to 4.4 km s -1 when comparing the three surveys. We observe some weak trends (e.g., in ΔT eff vs. Δlog g for the APOGEE-GES stars) and a clear correlation in the v micro - Δv micro planes in the APOGEE-GALAH common sample. For [α/H], [Ti/H] (APOGEE-GALAH giants), and [Al/H] (APOGEE-GALAH dwarfs) potential strong correlations are discovered as a function of the differences in the main atmospheric parameters, and we also find weak trends for other elements. In general we find good agreement between the three surveys within their respective uncertainties. However, there are certain regimes in which strong variants exist, which we discuss. There are still offsets larger than 0.1 dex in the absolute abundance scales.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2020

NWChem: Past, present, and future

Specialized computational chemistry packages have permanently reshaped the landscape of chemical sciences by providing tools to support and guide the experimental effort and for prediction of chemical and materials properties. In this regard, a special role has been played by electronic structure packages where complex chemical and materials processes can be modeled using first-principle-driven methodologies. Over the last few decades, the rapid development of computing technologies and a tremendous increase in computational power has offered a unique chance to study complex chemical transformations using sophisticated and predictive many-body techniques to describe correlated behavior of electrons in molecular and condensed phase systems at different levels of theory. In enabling these simulations, a critical role has been played by novel parallel algorithms capable of taking advantage of computational resources to address polynomial scaling of electronic structure methods. NWChem was among the first electronic structure codes that focused on delivering scalable performance for electronic structure simulations. Herein, we briefly review the NWChem suite of computational codes including its history, design principles, parallel tools, current capabilities, outreach and outlook.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2020

BWR Spent Nuclear Fuel Acquisition and Testing to Support DOE-NE High Burnup Spent Fuel Data Project

The Office of Spent Fuel and Waste Disposition (SFWD) within the US Department of Energy (DOE) Office of Nuclear Energy (NE) established the Spent Fuel and Waste Science and Technology (SFWST) campaign to conduct research and development (R&D) activities related to the storage, transportation, and disposal of spent nuclear fuel (SNF) and high-level radioactive waste. The SFWST program was created within SFWD to address issues of extended or long-term SNF storage and transportation. Some near-term objectives of SFWST are to use a science-based, engineering-driven approach to: Support the enhancement of the technical bases to support the continued safe and secure dry storage of SNF for extended periods; Support the enhancement of the technical bases for retrieving SNF after extended dry storage; Support the enhancement of the technical bases for transporting high burnup (HBU) fuel and transporting low burnup fuel and HBU fuel after dry storage DOE-NE, in partnership with the Electric Power Research Institute, developed the High Burnup Spent Fuel Data Project to perform a large-scale demonstration and laboratory-scale testing of HBU pressurized water reactor (PWR) fuels (exceeding 45 gigawatt-days per metric ton of uranium [GWd/MTU]). Under this project, 25 sister rods—which are rods that have the same design, power histories, and other characteristics—were removed from assemblies at the North Anna Nuclear Power Station and sent to Oak Ridge National Laboratory (ORNL) in January 2016. ORNL performed detailed nondestructive examination (NDE) on all 25 rods. The NDE consisted of visual examinations, gamma and neutron scanning, profilometry and rod length measurements, and eddy current examinations. After completing the NDE, 10 of the sister rods were delivered to Pacific Northwest National Laboratory (PNNL) in a NAC International, Inc. legal-weight truck cask in September 2018 for destructive examination (DE). To date, SFWD work has focused on the PWR fuel that is part of the Sister Rod Test program. No boiling water reactor (BWR) fuel has been tested in the program, and the data needs that were identified for the PWR fuel have not been collected for BWR fuel. The goal to obtain six to nine BWR rods and test them at ORNL will support closing this important data gap. BWR fuel comprises approximately 56% of the total fuel assemblies currently in storage at nuclear power plants in the United States. BWR nuclear fuel and cladding designs and manufacturing are significantly different from PWRs. Differences include the following: BWR fuel pellets are larger than PWR pellets; Variations of Zircaloy-2 (including liners) are used instead of the Zircaloy-4 cladding materials used in PWRs; Clad manufacturing and stress-relief processes are different between PWRs and BWRs; The fuel rod dimensions are different because larger rod diameters and thicker cladding are used in BWRs; BWR fuel typically has lower internal rod pressures and sees vastly different operating conditions than PWR fuel (i.e., two-phase flow); BWR assemblies are “canned,” meaning each assembly is surrounded by a metal fuel channel; BWR cladding is often composed of an inner pure Zr liner that has widely different mechanical properties than the Zircaloy-2 alloy and exhibits a stronger affinity for hydrogen; The BWR SNF generally has more total hydrogen in the cladding/liner than typical PWR fuel; The construction of the PWR and BWR assemblies is vastly different; BWR rods are solidly attached to the assembly nozzles and experience a much different vibration and shock load than PWR rods, which are “floating” within a grid system attached to guide tubes, and the rods sit loosely on the bottom end plates. These numerous differences will affect the way the BWR SNF responds under dry storage preparation processes (e.g., vacuum drying) and during transportation. The results collected in the PWR experimental program must be compared with a subset of similar data collected on BWR SNF to establish a technical basis for whether the larger PWR database is sufficient to bound the BWR SNF end-of-life conditions as is currently assumed for several fuel/clad properties. Changes that occur in both fuel types at HBU could exacerbate any mechanical property differences. As the fuel burnup increases, several changes occur that might affect the performance of the fuel, cladding, and assembly hardware in storage and transportation. These changes include increased cladding corrosion layer thickness, increased cladding hydrogen content, increased cladding creep strains, increased fission gas release, and the formation of the HBU structure at the surface of the fuel pellets. The Nuclear Regulatory Commission (NRC) limits the current maximum rod-averaged burnup to 62 GWd/MTU due to these changes and the lack of data at higher burnups.

11 NUCLEAR FUEL CYCLE AND FUEL MATERIALS↗
DOE OSTI2025

A generalizable machine learning-assisted fast Fourier transform algorithm to simulate the large strain phenomena in polycrystalline materials

Machine learning methods have shown initial promise in constitutive modeling for single crystals or homogenized polycrystals, delivering notable computational efficiency. However, existing machine learning-based constitutive models often lack generalizability, limiting their application across diverse boundary value problems. This study introduces a thermodynamics-informed artificial neural network model to accelerate rate-tangent crystal plasticity fast Fourier transform simulations for cross-scale deformation behaviors of polycrystals under complex loading. Our model integrates microstructural variability and local interactions effectively. To address local effects in each grain, we employ K-means clustering to group Gauss points within the microstructure into clusters assumed to be in similar mechanical states. This approach, based on self-clustering analysis, extends model scope from macroscopic stress response to the granular level, capturing mechanical responses and orientation evolution across grains. This reduces the number of nonlinear problems to solve, with cluster responses propagated throughout each group. The thermodynamics-based artificial neural network-extracted features are further processed using local material state clusters to account for history-dependent deformation and evolving microstructures. Additionally, representative volume element simulations with rate-tangent crystal plasticity fast Fourier transform provide reliable datasets for model training. The proposed model demonstrates high efficiency, accuracy, self-consistency, and enhanced generalizability in predicting strain–stress responses and orientation evolution at both individual grain and aggregate scales under complex loading conditions, such as biaxial tension and arbitrary loading scenarios.

36 MATERIALS SCIENCE↗
DOE OSTI2023

Comments on the Transplanckian Censorship Conjecture

We consider some aspects of the Transplanckian Censorship Conjecture (TCC), which states that for theories of quantum gravity there is a limit on the lifetime of dS or quintessence states not too different than the current Hubble horizon. If one accepts the de Sitter Swampland conjecture, then the former are ruled out. We consider some aspects of tunneling to an isolated ground state in the presence of time-varying fields, in quantum mechanics and quantum field theory in the absence of gravitation, and note that lifetimes are typically enormous; in fact, there is often a finite probability for the system to remain eternally in its original state. With gravity in a universe with superluminal expansion, while the field evolution may be slowed, Planck scale fluctuations would seem likely to grow to superhorizon size long before the universe decays. We argue that the TCC, if it is correct, requires that superluminal expansion occur only for a brief period in the history of the universe, and will be followed by a p = ρ phase.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗
DOE OSTI2022

On the origin of red spirals: does assembly bias play a role?

The formation of the red spirals is a puzzling issue in the standard picture of galaxy formation and evolution. Most studies attribute the colour of the red spirals to different environmental effects. We analyze a volume limited sample from the SDSS to study the roles of small-scale and large-scale environments on the colour of spiral galaxies. We compare the star formation rate, stellar age and stellar mass distributions of the red and blue spirals and find statistically significant differences between them at 99.9% confidence level. The red spirals inhabit significantly denser regions than the blue spirals, explaining some of the observed differences in their physical properties. However, the differences persist in all types of environments, indicating that the local density alone is not sufficient to explain the origin of the red spirals. Using an information theoretic framework, we find a small but non-zero mutual information between the colour of spiral galaxies and their large-scale environment that are statistically significant (99.9% confidence level) throughout the entire length scale probed. Such correlations between the colour and the large-scale environment of spiral galaxies may result from the assembly bias. Thus both the local environment and the assembly bias may play essential roles in forming the red spirals. The spiral galaxies may have different assembly history across all types of environments. We propose a picture where the differences in the assembly history may produce spiral galaxies with different cold gas content. Such a difference would make some spirals more susceptible to quenching. Finally, in all environments, the spirals with high cold gas content could delay the quenching and maintain a blue colour, whereas the spirals with low cold gas fractions would be easily quenched and become red.

79 ASTRONOMY AND ASTROPHYSICS↗
DOE OSTI2024

The separate effect of halo mass and stellar mass on the evolution of massive disc galaxies

ABSTRACT We analyse a sample of massive disc galaxies selected from the fourth-generation Sloan Digital Sky Survey/Mapping Nearby Galaxies at Apache Point Observatory survey to investigate how the evolution of these galaxies depends on their stellar and halo masses. We applied a semi-analytic spectral fitting approach to the data from different regions in the galaxies to derive several of their key physical properties. From the best-fitting model results, together with direct observables such as morphology, colour, and the Mgb/〈Fe〉 index ratio measured within 1Re, we find that for central galaxies both their stellar and halo masses have a significant influence in their evolution. For a given halo mass, galaxies with higher stellar mass accumulate their stellar mass and become chemically enriched earlier than those with smaller stellar mass. Furthermore, at a given stellar mass, galaxies living in more massive haloes have longer star formation time-scales and are delayed in becoming chemically enriched. In contrast, the evolution of massive satellite galaxies is mostly determined by their stellar mass. The results indicate that both the assembled halo mass and the halo assembly history impact the evolution of central galaxies. Our spatially resolved analysis indicates that only the galaxy properties in the central region (0.0–0.5Re) show the dependencies described above. This fact supports a halo-driven formation scenario since the galaxies’ central regions are more likely to contain old stars formed along with the halo itself, keeping a memory of the halo formation process.

Zhou, Shuang (ORCID:0000000289996814)↗
DOE OSTI2022

The 6-minute walk test predicts mortality in a pulmonary nontuberculous mycobacteria-predominant bronchiectasis cohort

Background: Bronchiectasis is a chronic lung condition frequently associated with nontuberculous mycobacteria pulmonary (NTM) disease. Persons with these conditions are at increased risk of mortality. Patient reported outcome (PRO) instruments and the 6-minute walk test (6MWT) have been shown to predict mortality for several lung conditions, but these measures have not been fully evaluated for bronchiectasis and NTM. Methods: We conducted a retrospective cohort study among adult patients enrolled in a natural history study of bronchiectasis at the National Heart, Lung, and Blood Institute. Electronic medical records were queried for demographic, clinical, microbiologic, radiographic, and PRO instrument data: St. George’s Respiratory Questionnaire (SGRQ), Medical Research Council Dyspnea Scale, and the Pulmonary Symptom Severity Score (PSSS). The study baseline date was defined as the patient’s first visit after January 1st, 2015 with a SGRQ or 6MWT completed. Follow-up was defined as the interval between the study baseline visit and date of death or December 31st, 2019. Sex-stratified Cox proportional-hazards regression was conducted to identify predictors of mortality. Separate models were run for each PRO and 6MWT measure, controlling for age, body mass index (BMI), fibrocavitary disease status, and M. abscessus infection. Results: In multivariable Cox proportional-hazards regression models, the PSSS-severity (aHR 1.29, 95% CI 1.04–1.59), the 6MWT total distance walked (aHR 0.938, 95% CI 0.896–0.981) and distance saturation product (aHR 0.930, 95% CI 0.887–0.974) independently predicted mortality. In addition, BMI was significantly predictive of mortality in all models. Conclusions: The 6MWT and a PRO instrument capturing symptom severity are independently predictive of mortality in our cohort of bronchiectasis patients.

6-minute walk test↗