Processing medical data has always been an interesting field that has shown the need for effective image segmentation methods. Modern medical image segmentation solutions are focused on 3D image volumes, which originate at advanced acquisition devices. Operating on such data in a 3D envi- ronment is essential in order to take the full advantage of the available information. In this paper we present an extended version of our 3D image segmentation and reconstruction model that belongs to the family of Deformable Models and is capable of processing large image volumes in competitive times and in fully 3D environment, offering a big level of automation of the process and a high precision of results. It is also capable of handling topology changes and offers a very good scalability on multi-processing unit architectures. We present a description of the model and show its capabilities in the field of medical image processing.