MedBOE: Optimization-Based Estimation of Complete Patient Body Models from Whole-Body Medical Imaging

True whole-body medical imaging captures a patient from head to toe and provides comprehensive anatomical and/or functional information. This coverage enables reconstruction of the external body surface, yielding patient body models. However, scanner geometry (e.g., bore diameter), patient characteristics, and positioning can leave body regions missing (e.g., lateral arms/torso, hands, forearms, elbows), producing incomplete patient body models. Such incompleteness limits downstream medical analyses, including derivation of body-habitus metrics (BHMs), such as body volume and surface area, for injected radiotracer activity regimens, cardiometabolic risk assessment, and computational anatomical modeling for medical imaging simulation and radiation dosimetry. We present the Medical Body model Optimization-based Estimator (MedBOE), an automated, training-free framework for estimating complete patient body models from whole-body images with missing body regions. Our innovation is to leverage the Skinned Multi-Person Linear (SMPL) template, a parametric body mesh representing a broad range of body shapes and poses, in medical imaging. MedBOE aligns the SMPL template to the incomplete patient body models via attribute-guided optimization and estimates missing body regions through geometrically and volumetrically constrained deformation. We evaluated MedBOE using two public datasets: AutoPET (91 whole-body PET-CT images) and Human Implicit Tissues (HIT; 40 whole-body segmentations from MRI images). MedBOE achieved the best overall volumetric and geometric performance among evaluated methods. BHMs derived from MedBOE were within 2% error, suggesting low percentage errors for downstream analyses. MedBOE offers an automated, training-free method for estimating complete patient body models from whole-body images with missing body regions.