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The Lifetime Surveillance of Astronaut Health Newsletter

This volume of the Newsletter discusses the Johnson Space Center Clinic (JSC) restarting in-person Lifetime Surveillance of Astronaut Health (LSAH) Formers Examinations after being on hold due to COVID-19 as well as introducing a forthcoming option for LSAH Virtual Surveillance. JSC welcomes three new members of the JSC Clinic who will be heavily involved in Formers Exams. Finally, from the LSAH team, the newsletter talks about how your health data is utilized through the IMPALA platform for research such as the SANS Maturation Project, and building the LSAH Evidence Base to understand prostate cancer trends in the astronaut corps compared to other comparison cohorts.

Joseph (Tim) LaVan↗

Surveillance for Jugular Venous Thrombosis in Long-Duration Space Flight: Findings From Twenty-Eight U.S. Astronauts

BACKGROUND: Given the high incidence of internal jugular vein (IJV) flow anomalies aboard the International Space Station and a case of thrombosis, the National Aeronautics and Space Administration (NASA) instituted an occupational surveillance program to evaluate astronauts for venous thromboembolism (VTE). Current findings of the program are presented. METHODS: NASA astronauts undergo pre- and in-flight VTE surveillance examinations using a standardized vascular ultrasound protocol, which includes evaluation for bilateral IJV compressibility, filling, flow, and spontaneous echo contrast (SEC). RESULTS: Twenty-eight NASA astronauts had terrestrial baseline examinations and at least one in-flight imaging session. The reduction of in-flight peak IJV flow speeds was significant and more pronounced on the left. Comparing the first in-flight measurement to the terrestrial baseline, peak flow speeds were reduced from 90.1±41.9 cm/s (average ±SD) to 62.1±31.6 cm/s on the right and from 76.9±41.8 cm/s to 26.8±18.2 cm/s on the left. Seven astronauts showed stagnant or retrograde flow in the left IJV. Fourteen developed appreciable SEC in the left IJV (7 greater than mild); none developed significant right-sided SEC. All IJVs were fully compressible and free from thrombi. DISCUSSION: Bilateral IJV flow speed reduction is observed in microgravity, possibly due to the multitude of available flow redistribution paths for cranial drainage. In a subset of astronauts, significant flow anomalies develop that may facilitate thrombus formation through changes in blood viscosity and speed, especially if combined with other thrombogenic factors. These findings warrant attention to the interplay between individual vascular configurations and the dynamic properties of blood as a non-Newtonian fluid in the reduced-shear flow environment of microgravity.

Ashot Sargsyan↗

A Specialized Ultrasound Protocol for NASA's Renal Stone Surveillance and Clinical Practice

INTRODUCTION Ample evidence exists on the effectiveness of ultrasound in the diagnosis of kidney stones. However, terrestrial practice is mostly concerned with diagnosis of clinically significant urolithiasis. Adapting this non-irradiating, low-cost imaging modality for the asymptomatic astronaut population offers high-sensitivity screening and limits their career radiation dose. METHODS NASA developed a novel ultrasound-based detection and surveillance protocol to identify, categorize, and monitor mineralized renal material (MRM) in astronauts. The term MRM was developed to denote abnormal, presumably calcified, focal material of unknown clinical significance in the kidneys. Sonographic criteria for MRMs include measurable echogenic foci, their detectability in multiple, designated imaging plains, posterior shadowing, and “twinkle” pattern visualized in Color Doppler and/or demonstrated in Spectral Doppler modes. The mere discovery of an MRM does not trigger further imaging or intervention, unless the affected crewmember is mission-assigned, or the MRM meets actionable criteria based on size, location, and sonographic characteristics. If the threshold is met, the crew surgeon is notified, and additional diagnostic imaging and urology consultation are considered. RESULTS In total, 73 individuals have been scanned using our specialized methods, 60 have had more than one study done. As of April 2023, 282 total studies have been performed. So far, over 30 pairs of pre-and postflight studies have been obtained, and the findings are presented elsewhere in this panel. DISCUSSION A surveillance program was initiated nine years ago to screen asymptomatic members of the astronaut corps for renal calcifications, from their initial hiring, through their mission timeframes, and throughout their career. The goal is to reduce the probability that an astronaut will fly with a renal stone that may become symptomatic. This also gives NASA the information it needs to improve screening criteria for future long-duration crewed missions.

H Lyons↗

Modeling and Simulation Plans in Support of Low Cost, Size, Weight, and Power Surveillance Systems for Detecting and Tracking Non-Cooperative Aircraft

RTCA Special Committee (SC) 228 has initiated a second phase for the development of minimum operational performance standards (MOPS) for UAS detect and avoid (DAA) systems. Technologies to enable UAS with less available Size, Weight, and Power (SWaP) will be considered. RTCA SC-228 has established sub-working groups and one of the sub-working groups is focused on aligning modeling and simulations activities across all participating committee members. This briefing will describe NASAs modeling and simulation plans for the development of performance standards for low cost, size, weight, and power (C-SWaP) surveillance systems that detect and track non-cooperative aircraft. The briefing will also describe the simulation platform NASA intends to use to support end-to-end verification and validation for these DAA systems. Lastly, the briefing will highlight the experiment plan for our first simulation study, and provide a high-level description of our future flight test plans. This briefing does not contain any results or data.

surveillance↗

Using A Guided Interview to Create an Individual Exposure Profile for The Lifetime Surveillance of Astronaut Health (LSAH)

BACKGROUND To support NASA’s Lifetime Surveillance of Astronaut Health (LSAH) project, Individual Exposure Profiles (IEPs) were developed to record an astronaut’s pre-, in-, and post-NASA exposures. NASA astronauts were invited to participate in a one-time guided interview to review known hazard exposures and medical history documented in NASA records and to add new information not otherwise reported. The purpose of the IEP project was to determine if any significant information was gained from these interviews and identify potential trends in long-term health. METHODOLOGY The pre-filled exposure profile data was extracted from several sources including medical records, biographies, and LSAH records. The information that was pre-filled before the interview included occupational exposures prior to selection to the Astronaut Corps, during active astronaut career (e.g., EVA and ground-based training, on-orbit exposures), and after active career. The IEPs also contained relevant medical history (e.g., audiometry, illnesses, injuries) and significant non-occupational exposures. 189 interviews were conducted from 2012-2014. A Microsoft Access database was created to store the information collected in the IEPs before and after the interviews. The database houses the information from the IEPs to track the updates made to the original data. By analyzing which astronauts supplied additional information and which kinds of data were consistently added, potential gaps and trends in missing data may be identified. In designing the database, an efficient structure was implemented for ease of inputting data and to create variables that would generate quantifiable data. Creating standardized variables within the structure helped ease the process of inputting, organizing data, and analyzing data. Additional updates/data were denoted and were categorized by type of update. The categories identified were “Confirmed”, “Confirmed & Supplemented”, “Supplemented”, “Denied”, “Denied & Supplemented”, and “Other”. STATISTICAL ANALYSIS AND RESULTS To assess frequency of exposure updates, descriptive statistics will be generated and stratified by relevant factors such as astronaut selection decade, age at selection, and program/era. Hypothesis testing will be performed to understand the associations between updates to exposure information and population characteristics.

Astronaut health↗

Thermal surveillance of volcanoes

The author has identified the following significant results. A systematic aircraft program to monitor changes in the thermal emission from volcanoes of the Cascade Range has been initiated and is being carried out in conjunction with ERTS-1 thermal surveillance experiments. Night overflights by aircraft equipped with thermal infrared scanners sensitive to terrestrial emission in the 4-5.5 and 8-14 micron bands are currently being carried out at intervals of a few months. Preliminary results confirm that Mount Rainier, Mount Baker, Mount Saint Helens, Mount Shasta, and the Lassen area continue to be thermally active, although with the exception of Lassen which erupted between 1914 and 1917, and Mount Saint Helens which had a series of eruptions between 1831 and 1834, there has been no recent eruptive activity. Excellent quality infrared images recorded over Mount Rainier, as recently as April, 1972, show similar thermal patterns to those reported in 1964-1966. Infrared images of Mount Baker recorded in November 1970 and again in April 1972 revealed a distinct array of anomalies 1000 feet below the crater rim and associated with fumaroles or structures permitting convective heat transfer to the surface.

Friedman, J. D.↗

Thermal surveillance of volcanoes of the Cascade Range and Iceland utilizing ERTS DCP systems and imagery

The author has identified the following significant results. Significant results of the thermal surveillance of volcanoes experiment during 1972 included the design, construction, emplacement, and successful operation at volcanic sites in the Cascade Range, North America and on Surtsey, Iceland, of automated thermistor arrays which transmit ground and fumarole temperatures via the ERTS-1 data communication system to Goddard Space Flight Center. Temperature, radiance, and anomalous heat flow variations are being plotted by a U.S. Geological Survey IBM 360/65 computer program to show daily fluctuations at each of the sites. Results are being compiled in conjunction with NASA and USGS aircraft infrared survey data to provide thermal energy yield estimates during the current repose period of several Cascade Range volcanic systems. ERTS-1 MSS images have provided new information on the extent of structural elements controlling thermal emission at Lassen Volcanic National Park.

Friedman, J. D.↗

Investigation of prototype volcano-surveillance network

The author has identified the following significant results. The equipment installed in the volcano surveillance network continues to work quite reliably and earthquakes are being recorded at all sites. A summary of platform receptions per day has been prepared.

Eaton, J. P.↗

Establishment, test and evaluation of a prototype volcano surveillance system

A volcano-surveillance system utilizing 23 multilevel earthquake counters and 6 biaxial borehole tiltmeters is being installed and tested on 15 volcanoes in 4 States and 4 foreign countries. The purpose of this system is to give early warning when apparently dormant volcanoes are becoming active. The data are relayed through the ERTS-Data Collection System to Menlo Park for analysis. Installation was completed in 1972 on the volcanoes St. Augustine and Iliamna in Alaska, Kilauea in Hawaii, Baker, Rainier and St. Helens in Washington, Lassen in California, and at a site near Reykjavik, Iceland. Installation continues and should be completed in April 1973 on the volcanoes Santiaguito, Fuego, Agua and Pacaya in Guatemala, Izalco in El Salvador and San Cristobal, Telica and Cerro Negro in Nicaragua.

Ward, P. L.↗

A multisensor system for airborne surveillance of oil pollution

The U.S. Coast Guard is developing a prototype airborne oil surveillance system for use in its Marine Environmental Protection Program. The prototype system utilizes an X-band side-looking radar, a 37-GHz imaging microwave radiometer, a multichannel line scanner, and a multispectral low light level system. The system is geared to detecting and mapping oil spills and potential pollution violators anywhere within a 25 nmi range of the aircraft flight track under all but extreme weather conditions. The system provides for false target discrimination and maximum identification of spilled materials. The system also provides an automated detection alarm, as well as a color display to achieve maximum coupling between the sensor data and the equipment operator.

Edgerton, A. T.↗

Performance of the ERTS-1 DCS in a prototype volcano surveillance system

A prototype volcano surveillance system has been installed on 15 volcanoes in four states and four countries. The need for this system, the techniques used, the method of implementation, the major problems, the results, and the future seen for such a system are briefly reviewed.

Ward, P. L.↗

Development and test of video systems for airborne surveillance of oil spills

Five video systems - potentially useful for airborne surveillance of oil spills - were developed, flight tested, and evaluated. The systems are: (1) conventional black and white TV, (2) conventional TV with false color, (3) differential TV, (4) prototype Lunar Surface TV, and (5) field sequential TV. Wavelength and polarization filtering were utilized in all systems. Greatly enhanced detection of oil spills, relative to that possible with the unaided eye, was achieved. The most practical video system is a conventional TV camera with silicon-diode-array image tube, filtered with a Corning 7-54 filter and a polarizer oriented with its principal axis in the horizontal direction. Best contrast between oil and water was achieved when winds and sea states were low. The minimum detectable oil film thickness was about 0.1 micrometer.

Millard, J. P.↗

Remotely piloted LTA vehicle for surveillance

Various aspects of a remotely piloted mini-LTA vehicle for surveillance, monitoring and measurement for civilian and military applications are considered. Applications, operations and economics are discussed.

Seemann, G. R.↗

Oilspill surveillance, detection, and evaluation by remote sensing

Aerial and fixed platform oil spill detection systems primarily utilize remote sensors for data acquisition and pollution monitoring purposes. In addition to aerial photography and infrared reflectance sensors, a laser backscatter sensor and an ultraviolet fluorescence sensor are considered for application in pollution surveillance systems.

Jones, D. R.↗