Provided is a three-dimensional image processing device, comprising: an acquisition unit which acquires three-dimensional image data and metadata which is included in the three-dimensional image data; a separation unit which separates the three-dimensional image data which has been acquired with the acquisition unit into the three-dimensional image data and the metadata; a compositing unit which composites information, which is represented by the metadata which has been separated with the separation unit, with the three-dimensional image data which has been separated with the separation unit; and a transform unit which transforms the three-dimensional image data with which the information which is represented by the metadata has been composited in the compositing unit to three-dimensional shape model data which has a prescribed file format and which is of an object which is represented by the three-dimensional image data.