3D medical image reconstruction techniques are useful to figure out complex 3D structures from the set of 2D sections. In the paper, 3D medical image reconstruction system is constructed under PC environment and programmed based on modular programming by using Visual C++ 4.2. The whole procedures are composed of data preparation, gradient estimation, classification, shading, transformation and ray-casting & compositing. Three speed optimization techniques are used for accelerating 3D medical image reconstruction technique. One is to reduce the rays when cast rays to reconstruct 3D medical image, another is to reduce the voxels to be calculated and the other is to apply early ray termination. To implement 3D medical image reconstruction system based on PC, speed optimization techniques are experimented and applied.