The present invention relates to an image processing device for guidance support, a medical imaging system for providing guidance support, a method for guidance support, a method for operating an image processing device for guidance support, as well as a computer program element, and a computer readable medium. In order to provide enhanced and easily perceptible information about the actual situation, it is proposed to provide (110) 3D data (112) of a region of interest of an object, to provide (114) image data (116) of at least a part of the region of interest, wherein a device is located at least partly within the region of interest, to generate (118) a 3D model (120) of the device from the image data, and to provide (122) data for a model-updated 3D image (124) by embedding (126) the 3D model within the 3D data.
