An image acquisition unit acquires a plurality of projection images corresponding to a plurality of radiation source positions at the time of tomosynthesis imaging, the plurality of projection images being generated by causing an imaging apparatus to perform tomosynthesis imaging. A positional shift amount derivation unit derives a positional shift amount between the plurality of projection images based on body movement of the subject with a reference projection image generated at a radiation source position where an optical axis of the radiation emitted from the radiation source is perpendicular to a detection surface of the detection unit, among the plurality of projection images, as a reference. A reconstruction unit generates a tomographic image of at least one tomographic plane of the subject by reconstructing the plurality of projection images while correcting the positional shift amount.
