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Evaluation of the Spaceflight Cardiovascular Disease Risk using the Clinical Prediction Model Astro-Charm and the NASA Radiation Risk Model

Exposure to space radiation and other spaceflight hazards may pose an increased risk for cardiovascular diseases (CVD) during and after spaceflight [1], that should be quantified to plan future long-duration space missions such as the flight to Mars. The first CVD clinical prediction models (CPMs) for individuals were developed by the Framingham Heart Study investigators in the 1960’s. Since then, many CPMs have been developed and refined. The CPMs consider cardiovascular risk factors such as blood pressure, diabetes, cholesterol, and smoking. As there is a relationship between radiation-induced CVD risk and the background (non-exposed) CVD risk, it is possible to use CPMs to calculate a personalized risk for astronauts.

I. Plante

Direction of impact for explainable risk assessment modeling

Abstract Several graphical indicators have been recently introduced to help analysts visualize the marginal effects of inputs in complex models. The insights derived from such tools may help decision‐makers and risk analysts in designing interventions. However, we know little about the adequacy and consistency of different indicators. This work investigates popular marginal effect indicators to understand whether they yield indications consistent with the properties of the quantitative model under inspection. Specifically, we examine the notions of monotonicity, Lipschitz, and concavity consistency. Surprisingly, only PD functions satisfy all these notions of consistency. However, when selecting the indicators, in addition to consistency, analysts need to consider the risk of model extrapolation. For situations where such risk is under control, we utilize individual conditional expectations together with PD plots. Two applications, on a NASA space risk assessment model and a susceptible exposed infected recovered (SEIR) model for the COVID‐19 pandemic illustrate the insights obtained from these indicators.

Mathematical Methods In Social Sciences

Improvements to the Ionizing Radiation Risk Assessment Program for NASA Astronauts

To perform dosimetry and risk assessment, NASA collects astronaut ionizing radiation exposure data from space flight, medical imaging and therapy, aviation training activities and prior occupational exposure histories. Career risk of exposure induced death (REID) from radiation is limited to 3 percent at a 95 percent confidence level. The Radiation Health Office at Johnson Space Center (JSC) is implementing a program to integrate the gathering, storage, analysis and reporting of astronaut ionizing radiation dose and risk data and records. This work has several motivations, including more efficient analyses and greater flexibility in testing and adopting new methods for evaluating risks. The foundation for these improvements is a set of software tools called the Astronaut Radiation Exposure Analysis System (AREAS). AREAS is a series of MATLAB(Registered TradeMark)-based dose and risk analysis modules that interface with an enterprise level SQL Server database by means of a secure web service. It communicates with other JSC medical and space weather databases to maintain data integrity and consistency across systems. AREAS is part of a larger NASA Space Medicine effort, the Mission Medical Integration Strategy, with the goal of collecting accurate, high-quality and detailed astronaut health data, and then securely, timely and reliably presenting it to medical support personnel. The modular approach to the AREAS design accommodates past, current, and future sources of data from active and passive detectors, space radiation transport algorithms, computational phantoms and cancer risk models. Revisions of the cancer risk model, new radiation detection equipment and improved anthropomorphic computational phantoms can be incorporated. Notable hardware updates include the Radiation Environment Monitor (which uses Medipix technology to report real-time, on-board dosimetry measurements), an updated Tissue-Equivalent Proportional Counter, and the Southwest Research Institute Radiation Assessment Detector. Also, the University of Florida hybrid phantoms, which are flexible in morphometry and positioning, are being explored as alternatives to the current NASA computational phantoms.

Semones, E. J.

Ensemble Methodologies for Astronaut Cancer Risk Assessment in the face of Large Uncertainties

A new approach to NASA space radiation risk modeling has successfully extended the current NASA probabilistic cancer risk model to an ensemble framework able to consider sub-model parameter uncertainty (e.g. uncertainty in a radiation quality parameter) as well as model-form uncertainty associated with differing theoretical or empirical formalisms (e.g. combined dose-rate and radiation quality effects). Ensemble methodologies are already widely used in weather prediction, modeling of infectious disease outbreaks, and certain terrestrial radiation protection applications to better understand how uncertainty may influence risk decision-making. Applying ensemble methodologies to space radiation risk projections offers the potential to efficiently incorporate emerging research results, allow for the incorporation of future (including international) models, improve uncertainty quantification for underlying sub-models developed against sparse experimental data, and reduce the impact of subjective bias on risk projections. Moreover, risk forecasting across an ensemble of multiple predictive models can provide stakeholders additional information on risk acceptance if current health/medical standards cannot be met or the level of knowledge doesn’t permit a specific risk or exposure limit to be developed for future space exploration missions. In this work, ensemble risk projections implementing multiple sub-models of radiation quality, dose and dose-rate effectiveness factors, excess risk, and latency as ensemble members are presented. Initial consensus methods for ensemble model weights and correlations to account for individual model bias are discussed. In these analyses, the ensemble forecast compares well to results from NASA's current operational cancer risk projection model used to assess permissible exposure limits and permissible mission durations for astronauts. However, a large range of projected risk values are obtained at the upper 95th confidence level where models must extrapolate beyond available biological data sets; closer agreement is seen at the median + one sigma due to the inherent similarities in available models. Future work, including the addition of new models and methods for statistical correlation between predictive members are discussed to define alternate ways of thinking about risk and ‘acceptable’ uncertainty with respect to NASA’s current permissible exposure limits.

space radiation

Dynamic Simulation Probabalistic Risk Assessment Model for an Enceladus Sample Return Mission

Enceladus, a moon of Saturn, has geyser-like jets that spray plumes of material into orbit. These jets could enable a free-flying spacecraft to collect samples and return them to Earth for study to determine if they contain the building blocks of life. The Office of Planetary Protection at NASA requires containment of any unsterilized samples and prohibits destructive impact of the spacecraft upon return to Earth, with a sample release probability of less than 1 in 1,000,000 as a recommended goal. This paper describes a probabilistic risk assessment model that uses dynamic simulation techniques to capture the physics-based, time- and state-dependent interactions between the sample return system and the environment, which drive the risk of sample release. The dynamic approach uses a Monte Carlo-style simulation to integrate the many phases and sources of risk for a sample return mission. The model is used to assess the achievability of the planetary protection reliability goal. This is accomplished by performing sensitivity studies assessing the impact of modeling assumptions to identify where uncertainties drive the risk. These results, in turn, are used to examine the feasibility of meeting key design and performance parameters that are needed to achieve the reliability goal for a given architecture with existing technologies.

Dynamic Simulation

Introduction to Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT)

A key component in the development of NASA Human Research Programs (HRP) next generation risk model, the Medical Extensible Dynamic Probabilistic Risk Assessment Tool (MEDPRAT) intends to deliver a means to quantify how HRP products impact astronaut medical and health risks. MEDPRAT is extensible to the majority of exploration missions. Similar to other risk models, the tool utilizes the available space and terrestrial medical data. MEDPRAT is designed to be extended with additional human health research information, medical equipment, space and terrestrial standards and practices to assess space flight medical risk in a manner consistent with other risk measures used in spacecraft and mission design. This tool provides risk-based medical system design information necessary to evaluate new technologies, procedures, research insights and mission plans.

physiological response

Development and Validation of a Probabilistic Risk Assessment Model for a Generic Modular High Temperature Gas-Cooled Reactor

This study looks to develop and validate a probabilistic risk assessment (PRA) model for the modular high temperature gas-cooled reactor (MHTGR) using INL’s Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE) software. Validation against a General Atomics design involves matching event and fault trees to historical frequencies, with a goal of under 15% difference. The research aims to deliver a reliable PRA model to assess the safety of MHTGRs for use within high-temperature industrial applications.

22 GENERAL STUDIES OF NUCLEAR REACTORS

Milwaukee Urban Development: Assessing the Drivers of Urban Flood Vulnerability in Milwaukee using the Integrated Valuation of Ecosystem Services and Tradeoffs Urban Flood Risk Mitigation Model (InVEST)

Milwaukee County has experienced an increase in flooding due to climate change and urbanization. The frequency and severity of flooding vary spatially due to differences in land cover, surface permeability, and infrastructure. Marginalized communities tend to experience disproportionately high flooding and damage due to infrastructural inequalities and limited access to resources. To quantify these differences, we used the Natural Capital Project’s Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) Urban Flood Risk Mitigation Model to calculate and create maps of runoff retention, nominal flood depth, and economic damage to buildings in Milwaukee. Our model inputs included land cover, surface permeability, and rainfall. To inform our precipitation inputs, we used NASA’s Integrated Multi-satellite Retrievals for Global Precipitation Measurement (GPM IMERG) and National Weather Service (NWS) data. We assessed the relationship between flood risk and social and environmental spatial data including redlining, racial demographics, greenspace, and community resilience. The data demonstrate that flood risk is higher in historically redlined neighborhoods, majority Hispanic and Black census block groups, areas that lack parks and trees, and areas of low community resilience as measured by the Census Bureau’s Community Resilience Estimates (CRE). These findings will support our partners, Groundwork Milwaukee and Groundwork USA, in their efforts to promote the equitable distribution of resources and support environmental health in urban spaces. The end products of this project provide our partners with tools to assess urban flooding vulnerability, guide future intervention projects, quantify the effects of environmental injustice, and improve stakeholder access to data.

Madeleine Tango

Applications of the International Space Station Probabilistic Risk Assessment Model

Recently the International Space Station (ISS) has incorporated more Probabilistic Risk Assessments (PRAs) in the decision making process for significant issues. Future PRAs will have major impact to ISS and future spacecraft development and operations. These PRAs will have their foundation in the current complete ISS PRA model and the current PRA trade studies that are being analyzed as requested by ISS Program stakeholders. ISS PRAs have recently helped in the decision making process for determining reliability requirements for future NASA spacecraft and commercial spacecraft, making crew rescue decisions, as well as making operational requirements for ISS orbital orientation, planning Extravehicular activities (EVAs) and robotic operations. This paper will describe some applications of the ISS PRA model and how they impacted the final decision. This paper will discuss future analysis topics such as life extension, requirements of new commercial vehicles visiting ISS.

Grant, Warren

Radiation Quality Effects on Transcriptome Profiles in 3-D Cultures After Charged Particle Irradiation

In this work, we evaluated the differential effects of low- and high-LET radiation on 3-D organotypic cultures in order to investigate radiation quality impacts on gene expression and cellular responses. Current risk models for assessment of space radiation-induced cancer have large uncertainties because the models for adverse health effects following radiation exposure are founded on epidemiological analyses of human populations exposed to low-LET radiation. Reducing these uncertainties requires new knowledge on the fundamental differences in biological responses (the so-called radiation quality effects) triggered by heavy ion particle radiation versus low-LET radiation associated with Earth-based exposures. In order to better quantify these radiation quality effects in biological systems, we are utilizing novel 3-D organotypic human tissue models for space radiation research. These models hold promise for risk assessment as they provide a format for study of human cells within a realistic tissue framework, thereby bridging the gap between 2-D monolayer culture and animal models for risk extrapolation to humans. To identify biological pathway signatures unique to heavy ion particle exposure, functional gene set enrichment analysis (GSEA) was used with whole transcriptome profiling. GSEA has been used extensively as a method to garner biological information in a variety of model systems but has not been commonly used to analyze radiation effects. It is a powerful approach for assessing the functional significance of radiation quality-dependent changes from datasets where the changes are subtle but broad, and where single gene based analysis using rankings of fold-change may not reveal important biological information.

Patel, Zarana S.

IAC Abstract for Orbital Debris Phase II Report

Orbital debris poses a growing risk for spacecraft operations. This risk has most often been measured by proxies, like the number of debris or expected collisions, but few have attempted quantify the consequences of orbital debris or the costs and benefits of different methods to address the problem. This has made it difficult to assess the trade-offs and relative value among proposed actions for the mitigation, tracking, and remediation of debris. In March of 2023, the NASA Office of Technology, Policy, and Strategy (OTPS) took a step toward quantifying these relative values when we released Cost and Benefit Analysis of Orbital Debris Remediation. Since that time, OTPS has continued to build on this work. We have increased the fidelity of our risk model. For example, we added an ensemble of risk models that use varying assumptions of debris populations and lethality, included debris as small as 1mm, and incorporated atmospheric drag to naturally deorbit debris. We have also expanded our cost-benefit calculations to include action that mitigate and track debris, both large and small. The analysis has several important findings regarding the conditions under which debris remediation is more cost-effective than mitigation and tracking, the value of increased shielding of spacecraft and faster timelines for post-mission disposal, and how changes in the portfolio have interdependent effects. This presentation summarizes the body of work, with a particular focus on the risks and benefits to the global spacecraft population.

orbital debris

InVEST Urban Development: Incorporating Earth Observation Data into the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) Urban Flood Risk Mitigation Model Python API

Urban flooding poses as one of the biggest issues for cities today, as its impacts are amplified by both climate change and urbanization. The Natural Capital Project’s Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) Urban Flood Risk Mitigation (UFRM) model, which benefits from its simplicity and robustness, is commonly used in NASA DEVELOP projects for disaster mitigation, urban planning, and environmental justice issues. While InVEST UFRM model was able to produce the surface water runoff and retention map sufficient for the scopes of past projects, the model accuracy and spatial variability need improvement. Since the current InVEST UFRM model employs constant rainfall depth for all pixels in the area of interest (AOI), the model suffers from inaccurately estimating rainfall depth, runoff volume, and flood depth. Therefore, we adapted the model so that satellite-based precipitation raster datasets (i.e., Integrated Multi-satellitE Retrievals for Global Precipitation Measurement [GPM IMERG]) can be used instead of a single constant value. We simulated the flood events on August 21st and August 22nd, 2017 in Wyandotte County, Kansas using both our modified and the original InVEST UFRM model and then compared the results after incorporating the rainfall raster into the model. Areas with developed land on the land use map predicted moderate to high flood volume in the original volume regardless of the actual amount of precipitation. The modified model considered the rainfall depth’s spatial variation achieving less overestimation of flood runoff and volume at low-to-moderate rainfall area.

Son Do

InVEST Urban Development: Incorporating Earth Observation Data into the Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) Urban Flood Risk Mitigation Model Python API

Urban flooding poses as one of the biggest issues for cities today as its impacts are amplified by both climate change and urbanization. The Natural Capital Project’s Integrated Valuation of Ecosystem Services and Tradeoffs (InVEST) Urban Flood Risk Mitigation (UFRM) model, which benefits from its simplicity and robustness, is commonly used in NASA DEVELOP projects for disaster mitigation, urban planning, and environmental justice issues. While the InVEST UFRM model was able to produce the surface water runoff and retention map sufficient for the scopes of past projects, the model’s accuracy and spatial variability need improvement. Since the current InVEST UFRM model employs constant rainfall depth for all pixels in the area of interest (AOI), the model suffers from inaccurately estimating rainfall depth, runoff volume, and flood depth. Therefore, we adapted the model so that satellite-based precipitation raster datasets (i.e., Integrated Multi-satellitE Retrievals for Global Precipitation Measurement [GPM IMERG]) can be used instead of a single constant value. We simulated the flood events on August 21st and August 22nd, 2017, in Wyandotte County, Kansas using both our modified and the original InVEST UFRM model and then compared the results after incorporating rainfall raster into the model. Areas with developed land on the land use map predicted moderate to high flood volume in the original volume regardless of the actual amount of precipitation. The modified model considered the rainfall depth’s spatial variation achieving less overestimation of flood runoff and volume at low-to-moderate rainfall area.

Urban flooding

The Integrated Medical Model: A Risk Assessment and Decision Support Tool for Space Flight Medical Systems

The Integrated Medical Model (IMM) is a decision support tool that is useful to mission planners and medical system designers in assessing risks and designing medical systems for space flight missions. The IMM provides an evidence based approach for optimizing medical resources and minimizing risks within space flight operational constraints. The mathematical relationships among mission and crew profiles, medical condition incidence data, in-flight medical resources, potential crew functional impairments, and clinical end-states are established to determine probable mission outcomes. Stochastic computational methods are used to forecast probability distributions of crew health and medical resource utilization, as well as estimates of medical evacuation and loss of crew life. The IMM has been used in support of the International Space Station (ISS) medical kit redesign, the medical component of the ISS Probabilistic Risk Assessment, and the development of the Constellation Medical Conditions List. The IMM also will be used to refine medical requirements for the Constellation program. The IMM outputs for ISS and Constellation design reference missions will be presented to demonstrate the potential of the IMM in assessing risks, planning missions, and designing medical systems. The implementation of the IMM verification and validation plan will be reviewed. Additional planned capabilities of the IMM, including optimization techniques and the inclusion of a mission timeline, will be discussed. Given the space flight constraints of mass, volume, and crew medical training, the IMM is a valuable risk assessment and decision support tool for medical system design and mission planning.

Kerstman, Eric

The Integrated Medical Model: A Risk Assessment and Decision Support Tool for Human Space Flight Missions

This slide presentation reviews the Integrated Medical Model (IMM) and its use as a risk assessment and decision support tool for human space flight missions. The IMM is an integrated, quantified, evidence-based decision support tool useful to NASA crew health and mission planners. It is intended to assist in optimizing crew health, safety and mission success within the constraints of the space flight environment for in-flight operations. It uses ISS data to assist in planning for the Exploration Program and it is not intended to assist in post flight research. The IMM was used to update Probability Risk Assessment (PRA) for the purpose of updating forecasts for the conditions requiring evacuation (EVAC) or Loss of Crew Life (LOC) for the ISS. The IMM validation approach includes comparison with actual events and involves both qualitative and quantitaive approaches. The results of these comparisons are reviewed. Another use of the IMM is to optimize the medical kits taking into consideration the specific mission and the crew profile. An example of the use of the IMM to optimize the medical kits is reviewed.

Kerstman, Eric L.

System Safety Risk Analysis Models (SSRAM)

This presentation provides a high level overview of the System Safety Risk Analysis (SSRAM) methodology and motivation.

Clark, Andrew Jordan [Sandia National Laboratories