An image processing device and an image processing method that performs image interpretation as fast as possible, without oversight by an interactive operation, when performing the image interpretation of a large amount of volume data in which an interest region is set in advance are provided. The image processing device that generates a two-dimensional image from a captured three-dimensional image and displays the generated two-dimensional image receives an input signal relating to primary display control information including a speed of a display control input of the two-dimensional image, calculates the primary display control information from the input signal, calculates secondary display control information including a display speed of the two-dimensional image based on information of an interest region and the primary display control information, and sequentially generates the two-dimensional images based on the secondary display control information and displays the generated two-dimensional image.