PROBLEM TO BE SOLVED: To provide an X-ray diagnostic apparatus of which remote control operation can be safely performed by an apparatus operator, and a medical image diagnostic system.SOLUTION: An X-ray diagnostic apparatus comprises: an imaging device having an imaging system performing X-ray imaging of a subject and a bed placed with the subject an instruction reception section receiving an instruction to cause the imaging device to perform predetermined operation an operation notification section notifying a first user of contents of the predetermined operation related to the instruction received by the instruction reception section a permission input section receiving information to the effect that the predetermined operation is permitted from the first user checking the contents of the predetermined operation an operation limit section limiting the predetermined operation in comparison with after reception of the information to the effect that the predetermined operation is permitted by the permission input section until the reception of the information to the effect that the predetermined operation is permitted by the permission input section and a drive section being controlled by the operation limit section and causing the imaging device to perform the predetermined operation.SELECTED DRAWING: Figure 1COPYRIGHT: (C)2017,JPO&INPIT【課題】デバイス操作者がX線診断装置を安全に遠隔操作することができるX線診断装置および医用画像診断システムを提供する。【解決手段】本発明の一実施形態に係るX線診断装置は、被検体のX線撮像を行なう撮像系と被検体を載置する寝台とを有する撮像装置と、撮像装置に所定の動作をさせるための指示を受け付ける指示受付部と、指示受付部によって受け付けられた指示に係る所定の動作の内容を第1のユーザに通知する動作通知部と、所定の動作の内容を確認した第1のユーザから所定の動作を許可する旨の情報を受け付ける許可入力部と、許可入力部によって所定の動作を許可する旨の情報を受け付けるまでは、許可入力部によって所定の動作を許可する旨の情報を受け付けた後に比して、所定の動作を制限する動作制限部と、動作制限部により制御され、撮像装置に所定の動作をさせる駆動部と、を備える。【選択図】 図1