Medical Technology – NSBRI http://nsbri.org National Space Biomedical Research Institute Fri, 21 Apr 2017 14:56:50 +0000 en-US hourly 1 https://wordpress.org/?v=5.5.9 Feasibility of DPOAE Mapping as an In-Flight Measure of Intracranial Pressure In Space (First Award Fellowship) http://nsbri.org/researches/feasibility-of-dpoae-mapping-as-an-in-flight-measure-of-intracranial-pressure-in-space-first-award-fellowship/ Tue, 15 Dec 2015 16:58:15 +0000 http://nsbri.org/researches/feasibility-of-dpoae-mapping-as-an-in-flight-measure-of-intracranial-pressure-in-space-first-award-fellowship/ This project focuses on assessing distortion product otoacoustic emissions (DPOAE) as a non-invasive measure of changes in intracranial pressure. It is hypothesized that visual acuity changes in spaceflight are caused by the long-term interaction between intracranial pressure (ICP) and the ocular globe. However, there is no noninvasive, easy-to-perform, on-orbit measure of ICP. Changes in DPOAE […]

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This project focuses on assessing distortion product otoacoustic emissions (DPOAE) as a non-invasive measure of changes in intracranial pressure. It is hypothesized that visual acuity changes in spaceflight are caused by the long-term interaction between intracranial pressure (ICP) and the ocular globe. However, there is no noninvasive, easy-to-perform, on-orbit measure of ICP. Changes in DPOAE response have been shown to correlate with changes in ICP, potentially making them very useful as a proxy measure. We will statistically assess DPOAE as a tool to noninvasively measure ICP by isolating the effects of fluid shifts and changes in hydrostatic gradients, two separate response mechanisms, by altering body position (hydrostatic gradient) and lower body pressure (fluid shift). In conjunction with this work, we will also be collecting additional measures using MRI, ocular geometry/structures, and cardiovascular data to look for anatomical and physiological predictors for changes in the DPOAE maps.

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Prevention of Renal Stone Complications in Space Exploration http://nsbri.org/researches/prevention-of-renal-stone-complications-in-space-exploration/ Tue, 15 Dec 2015 16:58:15 +0000 http://nsbri.org/researches/prevention-of-renal-stone-complications-in-space-exploration/ This project will refine and validate plug-and-play sensor and effector probes to integrate with the NASA Flexible Ultrasound (FUS) unit to address the medical condition Nephrolithiasis (kidney stones) listed in the ExMC Gap Report 4.02, specifically ExMC Gap Report 4.13 Limited capability to diagnose and treat a renal stone. In summary, astronauts are at an […]

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This project will refine and validate plug-and-play sensor and effector probes to integrate with the NASA Flexible Ultrasound (FUS) unit to address the medical condition Nephrolithiasis (kidney stones) listed in the ExMC Gap Report 4.02, specifically ExMC Gap Report 4.13 Limited capability to diagnose and treat a renal stone. In summary, astronauts are at an increased risk of stone development because of microgravity, dehydration, and altered bone metabolism associated with space flight. The risk is that a stone, while innocuous when still in the kidney, will cause debilitating pain as it passes or worse, become obstructing, which can lead to urinary tract infection, sepsis, renal failure, and death. Short of surgery there is currently no available technology to affect when the stone moves from the kidney or manipulate the stone once it has begun to move.

The University of Washington invented and developed ultrasound technology to reposition stones to facilitate stone passage from the kidney. Using a Verasonics FUS (VFUS), commercial handheld probe, and real-time imaging, the stone and kidney are visualized and, with a touch of the screen, a short burst of ultrasound waves are focused on the stone to reposition (push) the stone to a new location. Development of the technology has focused on the clearance of stone fragments after shock wave lithotripsy (SWL). This proposal will refine the probe and software, and validate use for space-based needs including to a) detect and move ureteral stones, b) prevent or relieve an obstruction, c) manipulate de novo stones attached to kidney papillae, and d) comminute stones and expel the residual fragments. The result will be delivery of a probe and software that can be implemented on the NASA FUS to provide an option, where currently in space there is none, to treat most any in-flight kidney stone situation.

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SPACE-COT: Studying the Physiological and Anatomical Cerebral Effects of Carbon Dioxide and Tilt http://nsbri.org/researches/space-cot-studying-physiological-anatomical-cerebral-effects-carbon-dioxide-tilt/ Tue, 26 Jul 2016 15:51:26 +0000 http://nsbri.org/?post_type=research&p=22325 The SPACE COT study was a landmark international collaboration led by investigators from Baylor College of Medicine and DLR (German Aerospace Institute) to simulate the conditions on International Space Station that may give rise to the visual impairment intracranial pressure (VIIP) syndrome.  Healthy subjects were exposed to a combination of 12 degree head down tilt […]

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The SPACE COT study was a landmark international collaboration led by investigators from Baylor College of Medicine and DLR (German Aerospace Institute) to simulate the conditions on International Space Station that may give rise to the visual impairment intracranial pressure (VIIP) syndrome.  Healthy subjects were exposed to a combination of 12 degree head down tilt (HDT) with regular air versus HDT and elevated carbon dioxide (0.5% CO2).  An integrated approach was applied to measure brain, ocular, and systemic physiology using gold standard and novel innovative methods.  The results suggest that HDT and CO2 may have both detrimental and beneficial effects on various aspects of human performance.  Based on the findings so far, it is likely that an individualized assessment of astronauts will be necessary to understand how they will respond to the fluid shifting and carbon dioxide exposure during space flight.

Video: Watch this overview of the SPACE COT project, an international space biomedical study that took place in Cologne, Germany in June 2015.

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Clinical Evaluation of the Newest Generation of a Non-Invasive ICP Meter (VITTAMED) in Subjects Undergoing Invasive ICP Measurement http://nsbri.org/researches/clinical-evaluation-newest-generation-non-invasive-icp-meter-vittamed-subjects-undergoing-invasive-icp-measurement/ Tue, 26 Jul 2016 16:44:05 +0000 http://nsbri.org/?post_type=research&p=22333 Measurement of the intracranial pressure during space flight is critical to understand whether the visual impairment intracranial pressure (VIIP) syndrome is related to pathological elevation of the ICP. Currently only invasive measurement of ICP is considered accurate enough for determination of this parameter. Given that all invasive methods for measuring ICP carry some risk, this […]

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Measurement of the intracranial pressure during space flight is critical to understand whether the visual impairment intracranial pressure (VIIP) syndrome is related to pathological elevation of the ICP. Currently only invasive measurement of ICP is considered accurate enough for determination of this parameter. Given that all invasive methods for measuring ICP carry some risk, this may be catastrophic in the space flight environment. Therefore development of non-invasive technologies for measuring the astronauts’ ICP is highly desirable. This study aims to evaluate the latest generation of a transcranial Doppler based technology for measuring ICP against gold standard invasive methods in patients on Earth requiring ICP measurement. The results of this study will help determine the accuracy and usability of this latest version of the non-invasive ICP meter (Vittamed).

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The Suitability of the Vittamed Two-Depth Transcranial Doppler for the Non-Invasive Assessment of Intracranial Pressure in Astronauts Before and After Spaceflight http://nsbri.org/researches/the-suitability-of-the-vittamed-two-depth-transcranial-doppler-for-the-non-invasive-assessment-of-intracranial-pressure-in-astronauts-before-and-after-spaceflight/ Tue, 15 Dec 2015 16:58:14 +0000 http://nsbri.org/researches/the-suitability-of-the-vittamed-two-depth-transcranial-doppler-for-the-non-invasive-assessment-of-intracranial-pressure-in-astronauts-before-and-after-spaceflight/ Many of the long duration astronauts experience visual impairment and findings suggesting elevated intracranial pressure (ICP) while in microgravity. This condition has the potential for seriously impacting space flight operations, due to the effect on vision, and may not be fully reversible upon return to Earth. Currently, the ICP can only be measured by placing […]

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Many of the long duration astronauts experience visual impairment and findings suggesting elevated intracranial pressure (ICP) while in microgravity. This condition has the potential for seriously impacting space flight operations, due to the effect on vision, and may not be fully reversible upon return to Earth. Currently, the ICP can only be measured by placing invasive catheters into the brain, or by performing a lumbar puncture (spinal tap). These methods carry significant risks, and therefore there is an urgent need to develop a non-invasive modality. Dr. Eric M. Bershad and colleagues are conducting a research project to validate the Vittamed Two Depth Transcranial Doppler (Vittamed, Kaunas, Lithuania) for minimally invasive ICP measurement in the astronauts. This device uses ultrasound technology to measure the difference in blood flow through two segments of the ophthalmic (eye) artery, while gradually applying pressure to the orbital tissues to balance the extracranial and intracranial artery segments. If the device operating characteristics including repeatability, reproducibility and accuracy are confirmed, this technology may find broad applications not only in the astronauts, but also in patients with traumatic brain injury, strokes, brain hemorrhages, and hydrocephalus in the global health care setting.

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Development of a Modular, Fiber Optic Surface Plasmon Resonance Sensor for Quantitation of Diagnostic Proteins for Healing of Burns and Wounds http://nsbri.org/researches/development-of-a-modular-fiber-optic-surface-plasmon-resonance-sensor-for-quantitation-of-diagnostic-proteins-for-healing-of-burns-and-wounds/ Tue, 15 Dec 2015 16:57:35 +0000 http://nsbri.org/researches/development-of-a-modular-fiber-optic-surface-plasmon-resonance-sensor-for-quantitation-of-diagnostic-proteins-for-healing-of-burns-and-wounds/ Dr. Karl S. Booksh is developing a fiber-optic sensor system that can detect a variety of biological molecules. The device is beneficial for spaceflight because it is able to detect infection and would be useful for wound treatment. Employing inexpensive, interchangeable parts, the sensor system will be fast, portable, and will not require lab support from the […]

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Dr. Karl S. Booksh is developing a fiber-optic sensor system that can detect a variety of biological molecules. The device is beneficial for spaceflight because it is able to detect infection and would be useful for wound treatment. Employing inexpensive, interchangeable parts, the sensor system will be fast, portable, and will not require lab support from the ground. The sensor system’s modular design will allow expansion to applications beyond wound healing. The technology may ultimately lead to the design of a smart bandage that can monitor wound healing.

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Psychosocial Performance Factors in Space-Dwelling Groups http://nsbri.org/researches/psychosocial-performance-factors-in-space-dwelling-groups/ Tue, 15 Dec 2015 16:55:19 +0000 http://nsbri.org/researches/psychosocial-performance-factors-in-space-dwelling-groups/ Healthy communication and interaction among astronauts and with the ground crew is vital to the success of extended space missions. Dr. Joseph Brady is developing a multi-person simulation in computer-generated environments to analyze psychosocial interactions, looking at the effects of selection, training, and experience within and between group members. This model will help ensure optimal […]

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Healthy communication and interaction among astronauts and with the ground crew is vital to the success of extended space missions. Dr. Joseph Brady is developing a multi-person simulation in computer-generated environments to analyze psychosocial interactions, looking at the effects of selection, training, and experience within and between group members. This model will help ensure optimal performance in space and on ground-based activities.

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Role of the Cranial Venous Circulation in Microgravity-Associated Visual Changes http://nsbri.org/researches/role-of-the-cranial-venous-circulation-in-microgravity-associated-visual-changes/ Tue, 15 Dec 2015 16:58:14 +0000 http://nsbri.org/researches/role-of-the-cranial-venous-circulation-in-microgravity-associated-visual-changes/ Upon entering microgravity, astronauts’ legs become thinner and their faces can look puffy, because of a shift of body fluids toward the head. This headward fluid shift affects the volume and pressure within veins in the head. These pressure and volume changes may underlie microgravity-associated visual symptoms because changes in pressures within the head can […]

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Upon entering microgravity, astronauts’ legs become thinner and their faces can look puffy, because of a shift of body fluids toward the head. This headward fluid shift affects the volume and pressure within veins in the head. These pressure and volume changes may underlie microgravity-associated visual symptoms because changes in pressures within the head can also affect the eye.

But, not all astronauts experience changes to their vision in weightlessness. Differences in the anatomy, flow, and compliance of the veins in the head between individuals may explain this discrepancy. Our goal is to develop a numerical model of the cerebral venous circulation that can predict the effects of the fluid shifts. We will validate the model by using magnetic resonance imaging (MRI) of the head to measure changes in venous flow, venous volume, venous pressure, intracranial compliance, cerebrospinal fluid (CSF) volume and flow pulsatility during both fluid shifts and changes in body position. The likely anatomic differences that could alter the responses to a fluid shift will be identified. This model and supporting data will provide a way to develop hypotheses about how microgravity produces visual changes over time and may allow predictions about which subjects may be at risk for the visual deficits associated with microgravity.

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Autonomous Behavioral Health Countermeasures for Spaceflight http://nsbri.org/researches/autonomous-behavioral-health-countermeasures-for-spaceflight/ Tue, 15 Dec 2015 16:58:15 +0000 http://nsbri.org/researches/autonomous-behavioral-health-countermeasures-for-spaceflight/ The Virtual Space Station (VSS) is a suite of behavioral health countermeasures developed over several years with NSBRI support. The VSS includes conflict management training, depression treatment, and stress management modules. To modify and customize these behavioral health countermeasures for astronaut use, the VSS programs will be evaluated in a analog environments such as Antarctica […]

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The Virtual Space Station (VSS) is a suite of behavioral health countermeasures developed over several years with NSBRI support. The VSS includes conflict management training, depression treatment, and stress management modules. To modify and customize these behavioral health countermeasures for astronaut use, the VSS programs will be evaluated in a analog environments such as Antarctica and HI-SEAS that include the elements of isolation and confinement found in long-duration spaceflight.

Additionally, an integrated behavioral health assessment will be added to the existing content to determine the need for behavioral health countermeasures and guide the astronaut user accordingly. Also, the VSS conflict resolution content will be expanded. To promote psychological well-being, the software will be modified to incorporate virtual reality (VR), including a VR-based relaxation and attention restoration system, which can provide a fully confidential, positive, immersive experience for astronauts.

The final product will offer an integrated user interface that can guide a user with minor problems to enjoyable countermeasures, such as VR relaxation, but will also have validated content to treat more severe problems such as depression.

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LumosTech Smart Sleep Mask for Circadian Realignment in Space and on Earth http://nsbri.org/researches/lumostech-smart-sleep-mask-circadian-realignment-space-earth/ Wed, 27 Jul 2016 21:51:08 +0000 http://nsbri.org/?post_type=research&p=22342 With SMARTCAP funding, LumosTech, Inc., is developing a smart sleep mask capable of rapidly realigning circadian phase of the user during sleep. The mask will be controlled with a companion smartphone app and deliver short light pulses during the night to advance or delay the biological clock. During this project, our team will develop custom […]

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With SMARTCAP funding, LumosTech, Inc., is developing a smart sleep mask capable of rapidly realigning circadian phase of the user during sleep. The mask will be controlled with a companion smartphone app and deliver short light pulses during the night to advance or delay the biological clock. During this project, our team will develop custom hardware to deliver light pulses, an engineered textile outer that is functional and comfortable for the user, and a companion smartphone app to enable ease of use. This smart wearable device can help astronauts optimize their sleep schedules in the absence of natural light, assist ground crew adjusting to work-related sleep changes, and increase alertness after wake-up.

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