An artificial neural network has been implemented and trained with clinical data from 23088 patients. The aim was to predict a patient’s body circumferences and ligament thickness from patient data. A fully connected feed-forward neural network is used, containing no loops and one hidden layer and the learning mechanism is back-propagation of error. Neural network inputs were mass, height, age and gender. There are eight hidden neurons and one output. The network can generate estimates for waist, arm, calf and thigh circumferences and thickness of skin, fat, Supraspinous and interspinous ligaments, ligamentum flavum and epidural space. Data was divided into a training set of 11000 patients and an unseen test data set of 12088 patients. Twenty five training cycles were completed. After each training cycle neuron outputs advanced closer to the clinically measured data. Waist circumference was predicted within 3.92cm (3.10% error), thigh circumference 2.00cm, (2.81% error), arm circumference 1.21cm (2.48% error), calf circumference 1.41cm, (3.40% error), triceps skinfold 3.43mm, (7.80% error), subscapular skinfold 3.54mm, (8.46% error) and BMI was estimated within 0.46 (0.69% error). The neural network has been extended to predict ligament thicknesses using data from MRI. These predictions will then be used to configure a simulator to offer a patient-specific training experience.

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