An X-ray image diagnostic apparatus has an X-ray irradiating unit, a receiving unit, a supporting unit, a registering unit, a calculating unit and a presenting unit. The X-ray irradiating unit irradiates an X-ray. The receiving unit receives the X-ray. The supporting unit supports the X-ray irradiating unit and the receiving unit to be opposed to each other, and the supporting unit is movable in a room. The registering unit registers in advance a target position after movement of the supporting unit. The calculating unit calculates a track of the supporting unit from a present position to the registered target position. The presenting unit presents the track until the supporting unit moves to reach the register target position. For example, the registering unit registers a target position coordinate and a target vertical axis rotation angle of the supporting unit as the target position.