The structures of solid dosage forms determine their release behaviors and are critical attributes for the design and evaluation of the solid dosage forms. Here, the three-dimensional (3D) structures of doxazosin mesylate sustained-release tablets (DM SRT) as reference listed drug (RLD) and a generic preparation were parallelly assessed by micro-computed tomography (micro-CT). There were no significant differences observed in the release profiles between the RLD and the generic formulation in the conventional dissolution, but the generic preparation released slightly faster in media with ethanol for an alcohol-induced dose-dumping test. With their 3D structures obtained via micro-CT determination, the unique release behaviors of both RLD and the generic were investigated for samples from dissolution tests to reveal the effects of internal fine structure on the release kinetics. The structural parameters for both preparations were similar in conventional dissolution test, whilst the dissolutions in ethanol media of RLD were more or less distinguished from that of generic preparations, attributing to their static and dynamic structures. Furthermore, the findings revealed that the presence of ethanol accelerated the dissolution and induced changes in the internal structure of both the RLD and the generic preparations. Moreover, the structure parameters like volume and area of outer contour, remaining solid volume and cavity volume were not equivalent between the two formulations in 40 % ethanol. In conclusion, the structure data obtained from this study provided valuable insights into the diverse release behaviors observed in various modified-release formulations in drug development and quality control.