Evaluating artificial intelligence algorithms for the standardization of transtibial prosthetic socket shape design

The quality of a transtibial prosthetic socket depends on the prosthetist’s skills and expertise, as the fitting is performed manually. This study investigates multiple artificial intelligence (AI) approaches to help standardize transtibial prosthetic socket design. Data from 118 patients were collected by prosthetists working in the Dutch healthcare system. This data consists of a three-dimensional (3D) scan of the residual limb and a corresponding 3D model of the prosthetist-designed socket. Multiple data pre-processing steps are performed for alignment, standardization and optionally compression using Morphable Models and Principal Component Analysis. Afterward, three different algorithms - a 3D neural network, Feedforward neural network, and random forest - are developed to either predict (1) the final socket shape or (2) the adaptations performed by a prosthetist to predict the socket shape based on the 3D scan of the residual limb. Each algorithm’s performance was evaluated by comparing the prosthetist-designed socket with the AI-generated socket, using two metrics in combination with the error location. First, we measure the surface-to-surface distance to assess the overall surface error between the AI-generated socket and the prosthetist-designed socket. Second, distance maps between the AI-generated and prosthetist sockets are utilized to analyze the error’s location. For all algorithms, estimating the required adaptations outperformed direct prediction of the final socket shape. The random forest model applied to adaptation prediction yields the lowest error with a median surface-to-surface distance of 1.24 mm, a first quartile of 1.03 mm, and a third quartile of 1.54 mm. • Built novel methods using PCA and 3D AI for transtibial prosthetic sockets. • Compared multiple algorithms and data representations on performance. • The random forest predicting the necessary adaptations has the lowest error.