An image processing device includes a tomographic image generating section that acquires generates tomographic images, a display processing section that displays a second radiographic image, and detection section. If a region of interest is specified on the second radiographic image, the detection section performs image analysis by comparing the region of interest with corresponding regions that are regions in the tomographic images corresponding to the region of interest, and detects a tomographic image including a corresponding region that is similar to the region of interest. If a position of interest is specified on the second radiographic image, the detection section performs image analysis by comparing the position of interest with corresponding positions that are positions in the tomographic images corresponding to the position of interest, and detects a tomographic image including a corresponding position that is similar to the position of interest.