According to an embodiment, an X-ray CT apparatus comprises a bed reciprocating member, setting circuitry, determination circuitry, and control circuitry. The bed reciprocating member reciprocally moves the top along the body axis direction of the object. The setting circuitry sets an imaging range in the above helical scanning. The determination circuitry determines whether the position of the top coincides with a planned scan end position when the helical scanning reaches one end of the set imaging range in the body axis direction. If the determination result obtained by the determination circuitry indicates incoincidence, the control circuitry controls the bed reciprocating member to move the position of the top to the planned scan end position.