According to one embodiment, a medical image processing apparatus includes processing circuitry. The processing circuitry specifies, before position alignment between a first X-ray image and a second X-ray image which is acquired with a device inserted, a device area candidate in the second X-ray image as a candidate of an area where the device appears. The processing circuitry performs the position alignment using first processing of removing the specified device area candidate or second processing of reducing a contribution of the specified device area candidate.