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The Digital Astronaut Project (DAP)
    Applying computational models and
 simulations to inform life science research

               Lealem Mulugeta
                 DAP Project Scientist
                    mulugeta@dsls.usra.edu
                  lealem.mulugeta@nasa.gov


 USRA DSLS Brown Bag Lunch Seminar - April 19th, 2012
Acknowledgments




Dr. Jean Sibonga, PhD        Christian Otto, MD
 HACD Bone Discipline Lead    VIIP Project Scientist




                                    Marlei Walton, PhD
                                       IMM Project Scientist
                                                               2
Overview
• Goals of the Digital Astronaut Project

• Processes DAP follows to accomplish its goals

• The modeling and simulation tools currently under
  development

• Video demonstration of the ARED and exercise modules

• Our recent achievements

                                                         3
Introduction
• Mars and NEO missions will expose astronaut to extended
  durations of reduced-gravity, isolation and higher radiation

• These new operation conditions pose health risks that are
  not well understood and perhaps unanticipated

• Advanced computational simulation environments can
  beneficially augment research to predict, assess and
  mitigate potential hazards to astronaut health

• The Digital Astronaut Project (DAP) strives to achieve this
  goal
                                                                 4
DAP’s Model Development and
  Implementation Process




                              5
How Models Can be Applied to Enhance
       Life Science Research




                                       6
Current Focus Areas
1. Exercise countermeasures modeling and simulation
   –   Advanced Resistive Exercise Device (ARED)
   –   Biomechanics of exercise
   –   Bone adaptation
   –   Muscle adaptation
   –   Advanced Exercise Concept Devices

2. Risk of bone fracture
   – Bone adaptation
   – Biomechanics of post-flight activities for bone load predictions

3. Visual Impairment and Intracranial Pressure (VIIP)
   – Preliminary stages


                                                                        7
ARED Exercise Modeling




                         8
ARED Exercise Modeling Kick-off Plan




                                       9
Exercise Countermeasures Modeling
• Human exercise simulation in micro-gravity
   –   Squat
   –   Single-leg squat
   –   Dead-lift
   –   Heel-raise

• Prediction of:
   –   Muscle forces
   –   Muscle adaptation
   –   Ground reaction forces
   –   Joint torque
   –   Mechanical load bones/joints
   –   Bone adaptation

• Influence of:
   – Anthropometric variation
   – Stance variation
   – Range of motion

                                               10
Exercise Countermeasures Modeling
Targeted HRP risk knowledge gaps:
B15: (a) What exercise protocols are necessary to maintain skeletal health? And
     (b) Can exercise hardware be designed to provide these?

M7: Can the current in-flight performance be maintained with reduced exercise
    volume?

M8: What is the minimum exercise regimen needed to maintain fitness levels
    for tasks?

M9: What is the minimum set of exercise hardware needed to maintain those
    (M8) fitness levels?

M24: What is the time course of changes in muscle protein turnover, muscle
     mass, and function during long-term spaceflight?

                                                                                  11
ARED Hardware Model
• High fidelity dynamics
  model of ARED/VIS
  developed in MSC Adams™
   – Mass and inertial properties
   – Friction forces
   – Gas laws


• Currently allows for
  simulation of bar exercises
  only

                                    Modeler: Brad Humphreys   12
ARED Hardware Model




NOT VALIDATED       Modeler: Brad Humphreys   13
Force generated at the bar in 1-g




                                                14
NOT VALIDATED         Modeler: Brad Humphreys
Force generated at the bar in 0-g




                                                15
NOT VALIDATED         Modeler: Brad Humphreys
ARED Exercise Modeling Kick-off Plan




Developed in parallel
with ARED/VIS model



                                                 16
ARED Exercise Models
• Developed with LifeMOD™ using motion capture data
  acquired on the ARED ground unit at JSC
                          Dead lift   Normal Squat   Single-leg squat
         Muscle Module
         Joint Module




            Modelers: Nate Newby and Erin Caldwell                      17
Integrated ARED-Dead Lift Exercise Model




               NOT VALIDATED
                                             18
    Modelers: Nate Newby and Erin Caldwell
Integrated ARED-Dead Lift Exercise Model




               NOT VALIDATED
                                            19
   Modelers: Nate Newby and Erin Caldwell
Integrated ARED-Squat Exercise Model




            NOT VALIDATED
        Modeler: Bill Thompson         20
Integrated ARED-Exercise Squat Model




            NOT VALIDATED
        Modeler: Bill Thompson         21
Integrated ARED-Exercise Squat Model




            NOT VALIDATED
        Modeler: Bill Thompson         22
ARED Exercise Modeling and Implementation Process




                                                    23
Muscle Adaptation Model
• Conceptual phase

• Enhance the fidelity of muscle representation
  in the LifeMOD biomechanics models in terms
  of space flight changes

• Gain insight on muscle adaptation factors:
   –   Neuromuscular drive and activation
   –   Muscle atrophy and fiber morphology
   –   Blood flow and intramuscular pressure
   –   Metabolic processes
   –   Fatigue


                    Modeler: Beth Lewandowski, PhD   24
Bone Adaptation Model
• Predicted muscle force from biomechanics
  models is an input to the bone adaptation
  model

• Bone adaptation model factors :
   –   Cortical bone tissue rate of change
   –   Bone fluid calcium rate of change
   –   Biochemical equations
   –   Mechanical stimulus
   –   Cellular dynamics


                                      Modeler: Jim Pennline, PhD   25
Risk of Bone Fracture
Targeted HRP risk knowledge gaps:
B15: (a) What exercise protocols are necessary to maintain skeletal
      health?

B1:   (a) Is there an increased lifetime risk of fragility
      fractures/osteoporosis in astronauts?
      (b) Is bone strength completely recovered post-flight, and does
      BMD reflect it?
      (c) What are the risk factors for poor recovery of BMD/bone
      strength

B30: What are the loads applied to bone in-flight and during EVA
     activities and do they increase fracture risk in light of expected
     bone loss?

                                         Modeler: Jim Pennline, PhD       26
Risk of Bone Fracture
• Implement biomechanical modules to
  predict the forces experienced at
  specific bone sites during various
  activities (not exercise)

• Enhance bone adaptation module to
                                              (Hewett et al., 2008)
  determine changes in the macro- and
  microstructure of bone during long-
  duration spaceflight and implications on
  long-term bone health risks

                              Modeler: Jim Pennline, PhD              27
Advanced Exercise Devices Modeling
• Develop device models for advanced exercise (AEC)
  devices:
   – Multi-mode Exercise Device (M-MED) – NSBRI / UC Irvine
   – Gas spring device (ZIN)
   – Streamline ergometer (SBIR)




                                                              28
                                  Modeler: Brad Humphreys
Advanced Exercise Devices Modeling

• Objectives:
   1. Gain insight into the efficacy of AEC devices for exercise
      countermeasures

   2. Provide timely input for design, development, and
      refinement of AEC devices

   3. Help reduce the time and cost to develop the exercise
      devices

   4. Help reduce the time and cost to clinically test new exercise
      devices

                                                                      29
Visual Impairment and Intracranial Pressure (VIIP)

                 Intracranial                Papilledema
                 Pressure
       Intracranial                                Changes in visual acuity
       Compliance                                  Primary focus:
                                                   • biomechanical responses to the of
Intracranial                                         the intracranial and ocular structure
Hemodynamics
                                                     while microgravity environment that
                                                     may affect visual acuity

Intra-ocular                                       Model types under consideration:
Pressure                                           • Lumped parameter models of the
 Cerebrospinal                                       intracranial and spinal compartments
 Fluid Flow                                        • Finite element model of the eye
                                                   • Computational fluid dynamics of the
                                                     intracranial and spinal space
        (Adapted from Google Body –
        http://bodybrowser.googlelabs.com)
                                                   • High fidelity tissue models to capture
                                                     nonlinear/viscoelastic properties
                                                                                        30
Current Status for VIIP Modeling




                                   31
VIIP Targeted Gaps
• VIIP6: How do changes in vascular compliance/ pressures
  influence intraocular pressure or intracranial pressure?

• Gap VIIP2: Does exposure to microgravity cause changes in
  visual acuity, intraocular pressure and/or intracranial
  pressure? Are the effects related to mission duration?

• Gap VIIP4: Are changes in visual acuity related to changes
  in:
   1) deformation of the optic nerve head;
   2) chronic choroidal engorgement;
   3) elevated intraocular pressure; and/or
   4) intracranial pressure?

                                                               32
Recent Successes
ARED Model used for Flywheel
              Preventative Maintenance
• The ARED flywheels were disengaged due to ground
  evidence that suggested the flywheel set screws may
  back out of their engagement to cause damage to the
  ARED
• Substantiation was requested from the ISS Program
  Office on whether or not crew time should be allocated
  to re-torque the set-screws as a short term fix to buy
  enough time to investigate a long-term fix
• The exercise lab at JSC leveraged the Beta ARED
  hardware model to partially substantiate the benefit of
  having the inertial wheels engaged during exercise
     Analysts: Nate Newby, Erin Caldwell and Brad Humphreys   34
ARED Model used for Flywheel
         Preventative Maintenance




Analysts: Nate Newby, Erin Caldwell and Brad Humphreys   35
ARED Model used for Exercise Envelope Analysis




      Analysts: Nate Newby and Erin Caldwell     36
ARED Model used for Exercise Envelope Analysis

• The ISS Program Office requested an analysis to assess if the
  ISS operational envelope for ARED exercise to assess if the
  envelope is being exceeded during exercise due to excess
  stowage in the exercise area
• DAP modelers used the dead lift/ARED model within the
  currently assigned ISS operational envelope for ARED exercise
  to assess if the envelope is being exceeded during exercise
• DAP modelers developed a model of a 95th % male
  performing a bench press on the ARED to perform the same
  analysis
• The results were shared with the ISS Program Office to
  determine the necessary operational envelope
           Analysts: Nate Newby and Erin Caldwell                 37
Contributions to the Field for V&V of
       Biomedical Models and Simulations
• The FDA is leveraging a lot of the methodologies DAP
  and IMM have laid out for verification, validation and
  credibility assessment of M&S

• Collaboration talks are currently underway with FDA

• The NIH Multiscale Modeling Working group meeting
  in October 2012 is going to have a large emphasis on
  V&V and credibility assent


                                                           38
Synapses
• DAP has established a systematic process to closely
  work with researchers to leverage computational
  models inform HRP risk knowledge gaps
• Current areas of focus are exercise countermeasures,
  risk of bone fracture and VIIP
• Substantial strides have been made in the past year in
  biomechanical and exercise device modeling
• Making notable contributions to the field in verification
  and validation, and credibility assessment of
  computational models

                                                              39
“All models are wrong, but some are useful.”
                            - George E. P. Box
The DAP Team
Beth Lewandowski, PhD – Muscle Model
Bill Thompson, MS – Squat Integration
Brad Humphreys – Exercise Device Modeling
Chris Sheehan – Exercise Device Modeling Task Lead
Chris Werner – ARED V&V
DeVon Griffin, PhD - Project Manager
Emily Nelson, PhD – VIIP M&S
Erin Caldwell , MS - Biomechanics Modeling and Dead Lift Integration
Jennifer Stein – Exercise Device V&V Processes
Jim Pennline, PhD – Bone Modeling Lead
Jerry Myers, PhD – M&S Advisor
Lealem Mulugeta, MS - Project Scientist
Nate Newby, MS – Biomechanics Modeling and Dead Lift integration

                                                                       41
Questions?
DAP Mission Statement
The DAP implements well-vetted computational models
to predict and assess spaceflight health and performance
risks, and enhance countermeasure development. The
DAP aims to accomplish these goals by:

1. Partnering with subject matter experts to address Human
   Research Program (HRP) knowledge gaps and countermeasure
   development decisions
2. Modeling, simulating, and analyzing the physiologic responses
   to exposure to reduced gravity and analog environments
3. Providing timely input to mission architecture and operations
   decisions in areas where clinical data are lacking


                                                                   43
NASA Standard 7009


A comprehensive set of requirements and
processes for developing and applying
models and simulations, while ensuring
appropriate verification, validation and
credibility of the M&S results


                                       44
NASA-STD-7009 Background
• NASA M&S that impact on the crew or mission will be
  required to follow NASA-STD-7009, including biological
  models
• It was initially developed for engineering systems
• DAP and Integrated Medical Model (IMM) have
  adapted NASA-STD-7009 for biomedical models for
  clinical and research applications
• Given the highly comprehensive nature of the
  standard, DAP and IMM are working to establish a
  systematic process to apply it to vet M&S

                                                           45

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The Digital Astronaut Project: Applying computational modeling and simulation to inform space life science research

  • 1. The Digital Astronaut Project (DAP) Applying computational models and simulations to inform life science research Lealem Mulugeta DAP Project Scientist mulugeta@dsls.usra.edu lealem.mulugeta@nasa.gov USRA DSLS Brown Bag Lunch Seminar - April 19th, 2012
  • 2. Acknowledgments Dr. Jean Sibonga, PhD Christian Otto, MD HACD Bone Discipline Lead VIIP Project Scientist Marlei Walton, PhD IMM Project Scientist 2
  • 3. Overview • Goals of the Digital Astronaut Project • Processes DAP follows to accomplish its goals • The modeling and simulation tools currently under development • Video demonstration of the ARED and exercise modules • Our recent achievements 3
  • 4. Introduction • Mars and NEO missions will expose astronaut to extended durations of reduced-gravity, isolation and higher radiation • These new operation conditions pose health risks that are not well understood and perhaps unanticipated • Advanced computational simulation environments can beneficially augment research to predict, assess and mitigate potential hazards to astronaut health • The Digital Astronaut Project (DAP) strives to achieve this goal 4
  • 5. DAP’s Model Development and Implementation Process 5
  • 6. How Models Can be Applied to Enhance Life Science Research 6
  • 7. Current Focus Areas 1. Exercise countermeasures modeling and simulation – Advanced Resistive Exercise Device (ARED) – Biomechanics of exercise – Bone adaptation – Muscle adaptation – Advanced Exercise Concept Devices 2. Risk of bone fracture – Bone adaptation – Biomechanics of post-flight activities for bone load predictions 3. Visual Impairment and Intracranial Pressure (VIIP) – Preliminary stages 7
  • 9. ARED Exercise Modeling Kick-off Plan 9
  • 10. Exercise Countermeasures Modeling • Human exercise simulation in micro-gravity – Squat – Single-leg squat – Dead-lift – Heel-raise • Prediction of: – Muscle forces – Muscle adaptation – Ground reaction forces – Joint torque – Mechanical load bones/joints – Bone adaptation • Influence of: – Anthropometric variation – Stance variation – Range of motion 10
  • 11. Exercise Countermeasures Modeling Targeted HRP risk knowledge gaps: B15: (a) What exercise protocols are necessary to maintain skeletal health? And (b) Can exercise hardware be designed to provide these? M7: Can the current in-flight performance be maintained with reduced exercise volume? M8: What is the minimum exercise regimen needed to maintain fitness levels for tasks? M9: What is the minimum set of exercise hardware needed to maintain those (M8) fitness levels? M24: What is the time course of changes in muscle protein turnover, muscle mass, and function during long-term spaceflight? 11
  • 12. ARED Hardware Model • High fidelity dynamics model of ARED/VIS developed in MSC Adams™ – Mass and inertial properties – Friction forces – Gas laws • Currently allows for simulation of bar exercises only Modeler: Brad Humphreys 12
  • 13. ARED Hardware Model NOT VALIDATED Modeler: Brad Humphreys 13
  • 14. Force generated at the bar in 1-g 14 NOT VALIDATED Modeler: Brad Humphreys
  • 15. Force generated at the bar in 0-g 15 NOT VALIDATED Modeler: Brad Humphreys
  • 16. ARED Exercise Modeling Kick-off Plan Developed in parallel with ARED/VIS model 16
  • 17. ARED Exercise Models • Developed with LifeMOD™ using motion capture data acquired on the ARED ground unit at JSC Dead lift Normal Squat Single-leg squat Muscle Module Joint Module Modelers: Nate Newby and Erin Caldwell 17
  • 18. Integrated ARED-Dead Lift Exercise Model NOT VALIDATED 18 Modelers: Nate Newby and Erin Caldwell
  • 19. Integrated ARED-Dead Lift Exercise Model NOT VALIDATED 19 Modelers: Nate Newby and Erin Caldwell
  • 20. Integrated ARED-Squat Exercise Model NOT VALIDATED Modeler: Bill Thompson 20
  • 21. Integrated ARED-Exercise Squat Model NOT VALIDATED Modeler: Bill Thompson 21
  • 22. Integrated ARED-Exercise Squat Model NOT VALIDATED Modeler: Bill Thompson 22
  • 23. ARED Exercise Modeling and Implementation Process 23
  • 24. Muscle Adaptation Model • Conceptual phase • Enhance the fidelity of muscle representation in the LifeMOD biomechanics models in terms of space flight changes • Gain insight on muscle adaptation factors: – Neuromuscular drive and activation – Muscle atrophy and fiber morphology – Blood flow and intramuscular pressure – Metabolic processes – Fatigue Modeler: Beth Lewandowski, PhD 24
  • 25. Bone Adaptation Model • Predicted muscle force from biomechanics models is an input to the bone adaptation model • Bone adaptation model factors : – Cortical bone tissue rate of change – Bone fluid calcium rate of change – Biochemical equations – Mechanical stimulus – Cellular dynamics Modeler: Jim Pennline, PhD 25
  • 26. Risk of Bone Fracture Targeted HRP risk knowledge gaps: B15: (a) What exercise protocols are necessary to maintain skeletal health? B1: (a) Is there an increased lifetime risk of fragility fractures/osteoporosis in astronauts? (b) Is bone strength completely recovered post-flight, and does BMD reflect it? (c) What are the risk factors for poor recovery of BMD/bone strength B30: What are the loads applied to bone in-flight and during EVA activities and do they increase fracture risk in light of expected bone loss? Modeler: Jim Pennline, PhD 26
  • 27. Risk of Bone Fracture • Implement biomechanical modules to predict the forces experienced at specific bone sites during various activities (not exercise) • Enhance bone adaptation module to (Hewett et al., 2008) determine changes in the macro- and microstructure of bone during long- duration spaceflight and implications on long-term bone health risks Modeler: Jim Pennline, PhD 27
  • 28. Advanced Exercise Devices Modeling • Develop device models for advanced exercise (AEC) devices: – Multi-mode Exercise Device (M-MED) – NSBRI / UC Irvine – Gas spring device (ZIN) – Streamline ergometer (SBIR) 28 Modeler: Brad Humphreys
  • 29. Advanced Exercise Devices Modeling • Objectives: 1. Gain insight into the efficacy of AEC devices for exercise countermeasures 2. Provide timely input for design, development, and refinement of AEC devices 3. Help reduce the time and cost to develop the exercise devices 4. Help reduce the time and cost to clinically test new exercise devices 29
  • 30. Visual Impairment and Intracranial Pressure (VIIP) Intracranial Papilledema Pressure Intracranial Changes in visual acuity Compliance Primary focus: • biomechanical responses to the of Intracranial the intracranial and ocular structure Hemodynamics while microgravity environment that may affect visual acuity Intra-ocular Model types under consideration: Pressure • Lumped parameter models of the Cerebrospinal intracranial and spinal compartments Fluid Flow • Finite element model of the eye • Computational fluid dynamics of the intracranial and spinal space (Adapted from Google Body – http://bodybrowser.googlelabs.com) • High fidelity tissue models to capture nonlinear/viscoelastic properties 30
  • 31. Current Status for VIIP Modeling 31
  • 32. VIIP Targeted Gaps • VIIP6: How do changes in vascular compliance/ pressures influence intraocular pressure or intracranial pressure? • Gap VIIP2: Does exposure to microgravity cause changes in visual acuity, intraocular pressure and/or intracranial pressure? Are the effects related to mission duration? • Gap VIIP4: Are changes in visual acuity related to changes in: 1) deformation of the optic nerve head; 2) chronic choroidal engorgement; 3) elevated intraocular pressure; and/or 4) intracranial pressure? 32
  • 34. ARED Model used for Flywheel Preventative Maintenance • The ARED flywheels were disengaged due to ground evidence that suggested the flywheel set screws may back out of their engagement to cause damage to the ARED • Substantiation was requested from the ISS Program Office on whether or not crew time should be allocated to re-torque the set-screws as a short term fix to buy enough time to investigate a long-term fix • The exercise lab at JSC leveraged the Beta ARED hardware model to partially substantiate the benefit of having the inertial wheels engaged during exercise Analysts: Nate Newby, Erin Caldwell and Brad Humphreys 34
  • 35. ARED Model used for Flywheel Preventative Maintenance Analysts: Nate Newby, Erin Caldwell and Brad Humphreys 35
  • 36. ARED Model used for Exercise Envelope Analysis Analysts: Nate Newby and Erin Caldwell 36
  • 37. ARED Model used for Exercise Envelope Analysis • The ISS Program Office requested an analysis to assess if the ISS operational envelope for ARED exercise to assess if the envelope is being exceeded during exercise due to excess stowage in the exercise area • DAP modelers used the dead lift/ARED model within the currently assigned ISS operational envelope for ARED exercise to assess if the envelope is being exceeded during exercise • DAP modelers developed a model of a 95th % male performing a bench press on the ARED to perform the same analysis • The results were shared with the ISS Program Office to determine the necessary operational envelope Analysts: Nate Newby and Erin Caldwell 37
  • 38. Contributions to the Field for V&V of Biomedical Models and Simulations • The FDA is leveraging a lot of the methodologies DAP and IMM have laid out for verification, validation and credibility assessment of M&S • Collaboration talks are currently underway with FDA • The NIH Multiscale Modeling Working group meeting in October 2012 is going to have a large emphasis on V&V and credibility assent 38
  • 39. Synapses • DAP has established a systematic process to closely work with researchers to leverage computational models inform HRP risk knowledge gaps • Current areas of focus are exercise countermeasures, risk of bone fracture and VIIP • Substantial strides have been made in the past year in biomechanical and exercise device modeling • Making notable contributions to the field in verification and validation, and credibility assessment of computational models 39
  • 40. “All models are wrong, but some are useful.” - George E. P. Box
  • 41. The DAP Team Beth Lewandowski, PhD – Muscle Model Bill Thompson, MS – Squat Integration Brad Humphreys – Exercise Device Modeling Chris Sheehan – Exercise Device Modeling Task Lead Chris Werner – ARED V&V DeVon Griffin, PhD - Project Manager Emily Nelson, PhD – VIIP M&S Erin Caldwell , MS - Biomechanics Modeling and Dead Lift Integration Jennifer Stein – Exercise Device V&V Processes Jim Pennline, PhD – Bone Modeling Lead Jerry Myers, PhD – M&S Advisor Lealem Mulugeta, MS - Project Scientist Nate Newby, MS – Biomechanics Modeling and Dead Lift integration 41
  • 43. DAP Mission Statement The DAP implements well-vetted computational models to predict and assess spaceflight health and performance risks, and enhance countermeasure development. The DAP aims to accomplish these goals by: 1. Partnering with subject matter experts to address Human Research Program (HRP) knowledge gaps and countermeasure development decisions 2. Modeling, simulating, and analyzing the physiologic responses to exposure to reduced gravity and analog environments 3. Providing timely input to mission architecture and operations decisions in areas where clinical data are lacking 43
  • 44. NASA Standard 7009 A comprehensive set of requirements and processes for developing and applying models and simulations, while ensuring appropriate verification, validation and credibility of the M&S results 44
  • 45. NASA-STD-7009 Background • NASA M&S that impact on the crew or mission will be required to follow NASA-STD-7009, including biological models • It was initially developed for engineering systems • DAP and Integrated Medical Model (IMM) have adapted NASA-STD-7009 for biomedical models for clinical and research applications • Given the highly comprehensive nature of the standard, DAP and IMM are working to establish a systematic process to apply it to vet M&S 45