An image diagnosis catheter that is configured to inhibit separation of a reflective coating of an optical transceiver includes an elongated sheath having a lumen, a rotatable drive shaft disposed in the lumen of the sheath, a housing disposed at the distal end portion of the drive shaft, and an optical transceiver held in the housing. The optical transceiver has a flat surface coated with a reflective coat, which reflects light propagating in an axial direction of the drive shaft. The housing has two side wall portions disposed to interpose at least the reflecting surface of the optical transceiver therebetween.