PROBLEM TO BE SOLVED: To detect a risk of aspiration in a contrast examination of deglutition using an X-ray fluoroscopic image.SOLUTION: An aspiration determination device 109 is added to an X-ray fluoroscopic device, and a branch area where the trachea and the esophagus in an X-ray fluoroscopic image are branched is designated by its aspiration determination part 220. A risk of aspiration is determined by calculating how examination food is separated to the trachea and the esophagus in the branch area. The X-ray fluoroscopic image is displayed in a display part 230, and the risk of aspiration is displayed in an aspiration display part 240.SELECTED DRAWING: Figure 3COPYRIGHT: (C)2018,JPO&INPIT【課題】X線透視像を用いて嚥下造影検査の際に、誤嚥が発生しそうなことを検出する。【解決手段】X線透視撮影装置に誤嚥判定装置109を付加し、その誤嚥判定部220で、X線透視像中の気管と食道が分岐する分岐領域を指定し、分岐領域での検査食の気管と食道へのわかれ具合を算出することで誤嚥が発生しそうなことを判定し、X線透視像を表示部230に、誤嚥が発生しそうなことを誤嚥表示部240に表示する。【選択図】図3