An X-ray CT apparatus includes a table-top, an X-ray tube, a detector and a processing circuitry. The processing circuitry reconstructs a CT image based on a detection signal. The processing circuitry sets a field of view based on positions of a puncture needle and a puncture target on the CT image. The processing circuitry controls an X-ray irradiation coverage based on the field of view, the X-ray irradiation coverage being an area irradiated with the X-rays. The processing circuitry displays a CT image reconstructed in the field of view on a display, after the X-rays based on the X-rays whose irradiation coverage is controlled emitted and the detection signal is outputted.
