An image processing device (50) includes an image generation means (66) that generates plural tomographic images a first specification means (68) that displays at least one tomographic image in which an object of interest has been captured, and that allows a user to specify a position of the object of interest a second specification means (70) that displays at least one tomographic image including a region from the object of interest to a side from which a biopsy needle is to be inserted, and allows the user to specify a desired pass-through region of the biopsy needle and/or a non-pass-through region a detection means (72) that detects a path of the biopsy needle passing through the pass-through region and reaching the object of interest and a warning means for issuing a warning if the detected path is outside a predetermined movement range of the biopsy needle.