[Problems] To provide a puncture treatment supporting apparatus enabling puncture treatment by previously performing puncture simulation and enabling its treatment evaluation. [Means for Solving Problems] A puncture treatment supporting apparatus comprises an ultrasonic probe, ultrasonic image construction means for constructing an ultrasonic image, volume data storing means for storing volume data ON a medical image diagnostic apparatus, probe position/direction detecting means for detecting the position and direction of the ultrasonic probe, tomographic image construction means for constructing tomographic image having the same cross section as the ultrasonic image by using the information ON the position and direction of the ultrasonic probe, display means for displaying these images and puncture means for inserting a puncture needle. The apparatus, further comprises simulation image constructing means for constructing a simulation image by adding a puncture guideline indicating the puncture position and direction of the puncture needle to the tomographic image and the display means displays the simulation image along with the ultrasonic image.
