According to one embodiment, an ultrasonic diagnostic apparatus includes processing circuitry. The processing circuitry acquires position information relating to an ultrasonic probe and an ultrasonic image. The processing circuitry acquires ultrasonic image data which is obtained by transmission and reception of ultrasonic from the ultrasonic probe at a position where the position information is acquired, the ultrasonic image data being associated with the position information. The processing circuitry executes associating between a first coordinate system relating to the position information and a second coordinate system relating to medical image data. The processing circuitry executes image alignment between an ultrasonic image based on the associated ultrasonic image data and a medical image based on the medical image data.