According to one embodiment, an X-ray diagnostic apparatus includes a data acquiring unit and a data processing unit. The data acquiring unit acquires X-ray projection data corresponding to plural directions from an object in which a stent having markers has been inserted by exposing X-rays to the object from the plural directions. The data processing unit obtains a spatial position corresponding to at least one marker out of the markers based on first three dimensional image data generated by first image reconstruction processing of the X-ray projection data to generate second three dimensional image data by second image reconstruction processing of the X-ray projection data with a correction using a shift amount obtained based on the X-ray projection data and projected data of the one marker on a projected plane of the X-ray projection data.