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NASA NTRSDate not supplied

Objective Structured Clinical Evaluation (OSCE) of an Artificial Intelligence (AI) Clinical Decision Support System (CDSS) Tool

BACKGROUND Objective Structured Clinical Evaluations (OSCEs) have long been established as a robust methodology for summative assessment of clinical skills and decision-making during medical education. The recent integration of Artificial Intelligence (AI) into clinical decision-making processes has prompted the need for novel evaluation frameworks to assess the efficacy and reliability of AI clinical decision support system (CDSS) tools. This abstract outlines the process of quantitatively evaluating a novel CDSS (“Doc in a Box” Google 2024) trained on curated medical spaceflight data in the psychomotor domain as it interfaces with a human volunteer acting as the crew medical officer (CMO). PURPOSE The AI CDSS under review was developed as part of the Lunar Command and Control Interoperability (LuCCI) project, which is intended to address a gap in how Lunar Surface Systems (LSS) would interoperate across multiple programs, commercial partners, and international partners. The project objective is to define, prototype, integrate, and evaluate an interoperable lunar command, control, data, and software reference architecture to enable autonomy and informatics capability through common standards across LSS. A multi-modal AI-based CDSS compatible with Federated LSS will assist clinicians in diagnosing and managing complex medical conditions by providing evidence-based recommendations through predictive analytics. Given the critical role of decision-support as NASA continues to evolve its Earth-independent medical operations (EIMO), it is imperative to ensure that such AI tools perform reliably and align with clinical standards during progressive lunar and Martian exploration class missions. METHODS The OSCE framework, traditionally used for evaluating human clinicians, was adapted to assess the AI tool's decision-making capabilities in simulated clinical scenarios. In this adapted OSCE, the AI CDSS was tested across a series of structured clinical scenarios designed to mimic real-life spaceflight patient cases. These scenarios included a range of conditions and complexities, allowing for comprehensive assessment of the tool's performance. Key evaluation metrics included accuracy of diagnosis, timeliness of decision-making, and appropriate recommendations for therapies. The OSCE was scored by human physician evaluators who assessed the AI's recommendations in comparison with expert clinicians' medical decision making to ensure alignment with best practices and the standard of care. RESULTS Preliminary results indicate that the AI CDSS demonstrated high accuracy in diagnostic recommendations and decision support across various scenarios. However, certain limitations were noted, such as occasional discrepancies in handling complex or nuanced cases that required a more contextual understanding. Additionally, the tool scored higher on the diagnostic portion of the rubric, with lower scores in the therapeutic recommendations. These findings highlight the importance of continuous refinement and validation of AI tools through rigorous evaluation frameworks like the OSCE. The adaptation of OSCEs for AI tools presents several advantages, including a structured and reproducible approach to evaluation, the ability to test AI systems in diverse clinical scenarios, and the opportunity to benchmark AI performance against established clinical standards to permit charting of future progress as aerospace medicine evolves as a discipline. Remaining challenges include ensuring that these evaluations capture the full spectrum of clinical decision-making scenarios that will be confronted by CMOs during missions and adequately reflecting real-world variability of the austere spaceflight environment. CONCLUSION Employing OSCEs to evaluate AI clinical decision support tools offers a promising approach to validating their clinical utility and efficacy. This methodology not only provides insights into the tool's performance but also fosters ongoing improvement and alignment with standard of care practices. Future research should focus on refining these evaluation processes and addressing limitations to enhance the integration of AI tools in clinical spaceflight settings. REFERENCES Scott S, Hearns V, Barker MA. Testing Clinical Skills: A Look at the OSCE and USMLE Clinical Skills Exams. S D Med. 2019 Oct;72(10):451-453. Majumder MAA, Kumar A, Krishnamurthy K, Ojeh N, Adams OP, Sa B. An evaluative study of objective structured clinical examination (OSCE): students and examiners perspectives. Adv Med Educ Pract. 2019 Jun 5;10:387-397. Karam VY, Park YS, Tekian A, Youssef N. Evaluating the validity evidence of an OSCE: results from a new medical school. BMC Med Educ. 2018 Dec 20;18(1):313.

Ariana M Nelson↗
DOE OSTI2025

Connecting Minds: AI Use Cases to Bridge Power Systems and Large Language Models for Practical Applications

Recent advances in artificial intelligence (AI) and development of large language models (LLMs) present the opportunity to develop a new generation of power systems applications. In contrast with early power system AI applications based on structured numerical data, LLMs offer unique capabilities to perform logical reasoning using text documents, unstructured data, and application programming interface (API) calls to computational software. This paper seeks to bridge the knowledge gap between power systems engineers and LLM developers through a crosscutting explanation of use cases, characteristics, requirements, practical considerations from the perspectives of both LLM capabilities and industry needs. Specific focus is given to applications that can be realistically deployed by electric utilities. After introducing the architecture of LLMs and unique challenges of the power systems domain, this paper proposes twenty representative LLM applications grouped into categories of 1) power system operations, 2) asset management, 3) system planning and analytics, and 4) energy management and protection systems. Five use cases are presented within each category with descriptions of the motivation, objectives, approaches, example inputs / outputs, and benefits of each use case.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2026

AI-Driven Frameworks for Characterizing Urban Energy Systems

We develop AI-driven frameworks to characterize urban energy systems with the goal of transforming planning by reducing the labor of model generation, scaling scenario exploration, and improving accuracy for localized analysis. The approach integrates top-down and bottom-up data to train different AI models that predict missing information and generate inputs and targeted scenarios for district-scale models. The result is a scalable framework that provides actionable insights for reliable and efficient planning.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗
NASA NTRS1992

HST Servicing Mission Planning and Replanning Tool

An overview is presented of the Hubble Space Telescope (HST) Service Mission Planning and Replanning Tool (SM/PART) and the approach that was employed to develop the system. SM/PART is an AI expert system utilized by NASA to rapidly build complex timelines and command plans to control HST activities. HST servicing missions are Space Shuttle/Orbiter missions expected to occur every three to five years to rendezvous with the HST in orbit and replace, upgrade, or repair HST components. SM/PART runs on a UNIX-based workstation and is implemented in the C language with a Motif-based graphical user interface.

Johnson, J.↗
NASA NTRS1990

Launching AI in NASA ground systems

This paper will discuss recent operational successes in implementing expert systems to support the complex functions of NASA mission control systems at the Goddard Space Flight Center, including fault detection and diagnosis for real time and engineering analysis functions in the Cosmic Background Explorer and Gamma Ray Observatory missions and automation of resource planning and scheduling functions for various missions. It will also discuss ongoing developments and prototypes that will lead to increasingly sophisticated applications of artificial intelligence. These include the use of neural networks to perform telemetry monitoring functions, the implementation of generic expert system shells that can be customized to telemetry handling functions specific to NASA control centers, the applications of AI in training and user support, the long-term potential of implementing systems based around distributed, cooperative problem solving, and the use of AI to control and assist system development activities.

Perkins, Dorothy C.↗
NASA NTRS1992

A multilayer perceptron solution to the match phase problem in rule-based artificial intelligence systems

In rule-based AI planning, expert, and learning systems, it is often the case that the left-hand-sides of the rules must be repeatedly compared to the contents of some 'working memory'. The traditional approach to solve such a 'match phase problem' for production systems is to use the Rete Match Algorithm. Here, a new technique using a multilayer perceptron, a particular artificial neural network model, is presented to solve the match phase problem for rule-based AI systems. A syntax for premise formulas (i.e., the left-hand-sides of the rules) is defined, and working memory is specified. From this, it is shown how to construct a multilayer perceptron that finds all of the rules which can be executed for the current situation in working memory. The complexity of the constructed multilayer perceptron is derived in terms of the maximum number of nodes and the required number of layers. A method for reducing the number of layers to at most three is also presented.

Sartori, Michael A.↗
DOE OSTI2024

Distribution System Dataset Generator for AI Applications [SWR-24-75]

This software is a simple, light-weight python package to generate pytorch compatible machine learning graph dataset representing electric power distribution system. User is able to use these graph datasets to test their graph generation artificial intelligence (AI) models, link prediction AI models, graph classification AI models and so much more. This package uses grid-data-models (https://github.com/NREL-Distribution-Suites/grid-data-models) as input data format for power distribution system. NREL-Ditto (https://github.com/NREL-Distribution-Suites/ditto) tool can be leveraged to transform popular distribution system file formats such as opendss, cyme and synergi to grid-data-models.

Duwadi, Kapil↗
NASA NTRS2007

Automated Diagnosis and Control of Complex Systems

Livingstone2 is a reusable, artificial intelligence (AI) software system designed to assist spacecraft, life support systems, chemical plants, or other complex systems by operating with minimal human supervision, even in the face of hardware failures or unexpected events. The software diagnoses the current state of the spacecraft or other system, and recommends commands or repair actions that will allow the system to continue operation. Livingstone2 is an enhancement of the Livingstone diagnosis system that was flight-tested onboard the Deep Space One spacecraft in 1999. This version tracks multiple diagnostic hypotheses, rather than just a single hypothesis as in the previous version. It is also able to revise diagnostic decisions made in the past when additional observations become available. In such cases, Livingstone might arrive at an incorrect hypothesis. Re-architecting and re-implementing the system in C++ has increased performance. Usability has been improved by creating a set of development tools that is closely integrated with the Livingstone2 engine. In addition to the core diagnosis engine, Livingstone2 includes a compiler that translates diagnostic models written in a Java-like language into Livingstone2's language, and a broad set of graphical tools for model development.

Kurien, James↗
DOE OSTI2025

Integrating and Characterizing HPC Task Runtime Systems for hybrid AI-HPC workloads

Scientific workflows increasingly involve both HPC and machine-learning tasks, combining MPI-based simulations, training, and inference in a single execution. Launchers such as Slurm’s srun constrain concurrency and throughput, making them unsuitable for dynamic and heterogeneous workloads. We present a performance study of RADICAL-Pilot (RP) integrated with Flux and Dragon, two complementary runtime systems that enable hierarchical resource management and high-throughput function execution. Using synthetic and production-scale workloads on Frontier, we characterize the task execution properties of RP across runtime configurations. RP+Flux sustains up to 930 tasks/s, and RP+Flux+Dragon exceeds 1,500 tasks/s with over 99.6% utilization. In contrast, srun peaks at 152 tasks/s and degrades with scale, with utilization below 50%. For IMPECCABLE.v2 drug discovery campaign, RP+Flux reduces makespan by 30–60% relative to srun/Slurm and increases throughput more than four times on up to 1,024. These results demonstrate hybrid runtime integration in RP as a scalable approach for hybrid AI-HPC workloads.

HPC-AI↗
DOE OSTI2026

Co-Simulation Meets AI: MCP-Driven Power System Analysis

GridGPT, a fine-tuned Generative AI model is designed for on-premise use in grid control rooms. This presentation will demonstrate how eGridGPT can seamlessly integrate with control room solutions to offer operators, engineers, and corporate users enhanced guidance and decision support. It is to show how this innovative AI solution can improve state estimation, boost variable energy forecasting, and optimize grid operations. By leveraging eGridGPT's unique features, audience will learn to unlock new levels of automation, predictive analytics, and reliability within their power systems, ultimately leading to reduced downtime and improved operational efficiency.

24 POWER TRANSMISSION AND DISTRIBUTION↗
DOE OSTI2026

A Systems-Level Approach to Address Risks and Ethics in Artificial Intelligence Systems

Artificial intelligence (AI) is rapidly changing the world, from completely controlling routine or mundane tasks like text and image generation, to powering advanced algorithms that control critical systems. The recent advances in generative AI quickly overwhelmed multiple industries from education to finance as first adopters rushed (and continue to rush) to take advantage of the technology. The expanding AI ecosystem presents novel risks and ethical challenges that must be handled to ensure that technology is leveraged fairly and ethically. There are intertwined risks and ethical challenges stemming from the stochastic nature of AI (i.e., intrinsic risks), as well as from specific applications (i.e., extrinsic risks). Appropriately regulating AI requires a systems-approach to develop an integrated solution to these dependent challenges. Thus far, however, questions of risk, ethics and regulation appear to occupy separate spaces. This paper reviews the risks and ethical implications of AI and proposes a system-level approach to integrating ethics and regulation for the nascent industry.

22 - GENERAL STUDIES OF NUCLEAR REACTORS↗
DOE OSTI2025

Report of the 2025 Workshop on Next-Generation Ecosystems for Scientific Computing: Harnessing Community, Software, and AI for Cross-Disciplinary Team Science

This report summarizes insights from the 2025 Workshop on Next-Generation Ecosystems for Scientific Computing: Harnessing Community, Software, and AI for Cross-Disciplinary Team Science, which convened more than 40 experts from national laboratories, academia, industry, and community organizations to chart a path toward more powerful, sustainable, and collaborative scientific software ecosystems. To address urgent challenges at the intersection of high-performance computing (HPC), AI, and scientific software, participants envisioned agile, robust ecosystems built through socio-technical co-design—the intentional integration of social and technical components as interdependent parts of a unified strategy. This approach combines advances in AI, HPC, and software with new models for cross-disciplinary collaboration, training, and workforce development. Key recommendations include building modular, trustworthy AI-enabled scientific software systems; enabling scientific teams to integrate AI systems into their workflows while preserving human creativity, trust, and scientific rigor; and creating innovative training pipelines that keep pace with rapid technological change. Pilot projects were identified as near-term catalysts, with initial priorities focused on hybrid AI/HPC infrastructure, cross-disciplinary collaboration and pedagogy, responsible AI guidelines, and prototyping of public-private partnerships. This report presents a vision of next-generation ecosystems for scientific computing where AI, software, hardware, and human expertise are interwoven to drive discovery, expand access, strengthen the workforce, and accelerate scientific progress.

97 MATHEMATICS AND COMPUTING↗
NASA NTRSDate not supplied

Enabling Interoperability in Earth System Digital Twins (ESDT): Integrating Observations, Models, and AI for Actionable Insights Through NASA'S Intelligent Systems Technology Program

NASA’s Intelligent Systems Technology Program (IST) is driving a paradigm shift in Earth science through the development of Earth System Digital Twins (ESDT). These integrated information systems create a dynamic "digital replica" of the Earth by harmonizing continuous, multi-source observations with high-fidelity models and state-of-the-art artificial intelligence (AI) that enable “What now?”, “What next?”, and “What if?” scenario building. These scenarios are reflected in NASA IST’s series of ESDTs, from the Coastal Zone Digital Twin that integrates complex data on the current state of the Chesapeake Bay to the Terrestrial Environmental Rapid-Replication and Assimilation Hydrometeorological (TerraHydro) AI-based ESDT that forecasts water movement across Earth’s surface, to the Agriculture Land Information System (AgLIS) which can be used to assess optimal planting dates and crop yield estimates. By bridging the gap between vast data archives and actionable insights, these projects enable a system-of-systems approach to understanding complex, interacting Earth processes. This poster will highlight recent innovations and future directions from NASA’s ESDT initiatives: Continuous Data Assimilation & Multi-Source Fusion. A core requirement of the ESDT work is the transition from static models to dynamic "living" replicas. This involves creating frameworks for the continual assimilation of near-real-time data from uncoordinated, heterogeneous sources, including satellite observations and airborne assets, and ground-based Internet of Things (IoT) sensors. These systems link design, operational status, and environmental data, ensuring the digital twin accurately reflects the current state of the physical Earth system. High-Fidelity Hybrid Modeling & Computational Acceleration to enable interactive "what-if" explorations, programs are moving beyond traditional, slow physical solvers by developing fast surrogate machine learning models and Deep Generative Models (DGMs). These hybrid approaches use neural networks to emulate complex physics, such as cloud feedback or ocean dynamics, at a fraction of the original computing cost, often leveraging advanced hardware like Graphics Processing Units (GPUs) to achieve the necessary scale. Federated Ecosystems & Interoperable Frameworks rather than building isolated tools, NASA IST is moving toward federated ESDTs and reusable analytic collaborative frameworks. This theme focuses on interoperability standards and common ontologies that allow specialized digital twins to interact and share data. This system-of-systems architecture supports multi-discipline investigations, such as analyzing how upstream watershed changes impact downstream urban flooding or how wildfire emissions affect regional air quality. By leveraging these advancements, ESDTs empower researchers and decision-makers to conduct real-time analysis and run complex hypothetical scenarios, ultimately improving our understanding of Earth’s evolving systems and informing critical real-world applications.

Earth System↗
NASA NTRS1988

Artificial intelligence approaches in space power systems automation at Marshall Space Flight Center

Various applications of AI to spacecraft electrical power systems are described. Particular attention is given to NICBES (nickel-cadmium battery expert system which is interfaced with the Hubble Space Telescope electrical power system test bed); the SSES; the three cooperating AI systems in the Space Station module power management and distribution system test bed; and I-DARE, the intelligent data reduction expert. It is found that the utilization of AI approaches permits comprehensive fault management and dynamic rescheduling capabilities for the electrical power system.

Weeks, David J.↗
NASA NTRS1987

NAECON 87; Proceedings of the IEEE National Aerospace and Electronics Conference, Dayton, OH, May 18-22, 1987. Volumes 1, 2, 3, & 4

The present conference discusses topics in VLSI components and their packaging, signal processing, uses of cartographic data, data transmission, advanced avionics architectures, fiber-optics, information control and display, image processing, airborne radar and fire control, navigation, air data, Kalman filtering, power generation and control, spacecraft power structures, aircraft flying qualities, flight management, fault-tolerant computer architectures, actuation technologies, self-repairing flight control system technology, multivariable control, stability and control methods, and AFTI/F-16 flight test reports. Also discussed are the ADA/JOVIAL language and its applications, software acquisition and testing, advanced software concepts, software management, computer graphics and visual systems softwear, ADA in embedded avionics, 16- and 32-bit architectures, voice interaction applications, human/machine systems analysis, human factors and AI, mental workloads and displays, pilot acceleration protection research, communications system technology, space communications, reliability and maintainability, managerial techniques, engineering management, EM compatibility and nuclear hardening, expert systems, AI language/knowledge representation, expert system implementation, machine vision/optical processing, and advanced AI concepts and architectures.

Avionics↗
NASA NTRS1993

Applications of artificial intelligence 1993: Knowledge-based systems in aerospace and industry; Proceedings of the Meeting, Orlando, FL, Apr. 13-15, 1993

The present volume on applications of artificial intelligence with regard to knowledge-based systems in aerospace and industry discusses machine learning and clustering, expert systems and optimization techniques, monitoring and diagnosis, and automated design and expert systems. Attention is given to the integration of AI reasoning systems and hardware description languages, care-based reasoning, knowledge, retrieval, and training systems, and scheduling and planning. Topics addressed include the preprocessing of remotely sensed data for efficient analysis and classification, autonomous agents as air combat simulation adversaries, intelligent data presentation for real-time spacecraft monitoring, and an integrated reasoner for diagnosis in satellite control. Also discussed are a knowledge-based system for the design of heat exchangers, reuse of design information for model-based diagnosis, automatic compilation of expert systems, and a case-based approach to handling aircraft malfunctions.

Fayyad, Usama M.↗