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NASA science
• Medicine in space
A variety of large-scale medical studies are being conducted in space via the National Space Biomedical Research Institute (NSBRI). Prominent among these is the Advanced Diagnostic Ultrasound in Microgravity Study in which Astronauts (including former ISS Commanders Leroy Chiao and Gennady Padalka) perform ultrasound scans under the guidance of remote experts to diagnose and potentially treat hundreds of medical conditions in space. Usually, there is no physician onboard the International Space Station and diagnosis of medical conditions is challenging. In addition, Astronauts are susceptible to a variety of health risks including decompression sickness, barotrauma, immunodeficiencies, loss of bone and muscle, orthostatic intolerance due to volume loss, sleep disturbances, and radiation injury. Ultrasound offers a unique opportunity to monitor these conditions in space. This study's techniques are now being applied to cover professional and Olympic sports injuries as well as ultrasound performed by non-expert operators in populations such as medical and high school students. It is anticipated that remote guided ultrasound will have application on Earth in emergency and rural care situations, where access to a trained physician is often rare.