An X-ray CT apparatus includes: a gantry having an opening provided to be interposed between an X-ray tube and an X-ray detector; a couch including driving circuitry for inserting a couchtop on which a subject is placed, into the opening; storage circuitry storing therein pieces of information that are related to puncture positions of the couchtop and correspond to pieces of unique information of practitioners who each apply a manipulation to the subject; and processing circuitry configured, when a first practitioner is to apply the manipulation, to control the driving circuitry so as to move the couchtop to a puncture position indicated by a piece of information related to a puncture position corresponding to a piece of unique information pertaining to the first practitioner, the piece of information being among the pieces of information that are related to the puncture positions and stored in the storage circuitry.