According to one embodiment, a medical image processing apparatus includes at least a vascular region extracting unit, a vascular shape image generating unit, a perfusion analyzing unit, a perfusion image generating unit, an image composition unit. The vascular region extracting unit extracts a vascular region based on a three-dimensional medical image. The vascular shape image generating unit generates an image of a vascular shape of the vascular region. The perfusion analyzing unit performs perfusion analysis on the three-dimensional medical image and obtains a perfusion value indicating a blood circulation condition in tissue around the vascular region. The perfusion image generating unit generates an image indicating the perfusion value. The image composition unit generates a vascular shape perfusion composition image in which an image of the vascular shape in a contraction portion in a blood vessel corresponding to the vascular region is combined with the image indicating the perfusion value.