In one embodiment, an X-ray computed tomography apparatus includes an X-ray tube, an X-ray detector, a rotating mechanism, a high voltage generating unit, a reconstruction processing unit, a projection image generating unit configured to generate a projection image based on output from the X-ray detector, an image display unit, and a fluoroscopy control unit configured to control the rotating mechanism, the high voltage generating unit, the X-ray detector, the projection image generating unit and the image display unit to implement stereo fluoroscopy.