According to one embodiment, an image processing device includes processing circuitry. The processing circuitry acquires a plurality of first image data indicating a plurality of time-sequential bloodstream images obtained after administering contrast agent to an object, and sets a target region on second image data. The second image data are generated based on the plurality of the first image data so as to indicate information on temporal change of pixel values of each pixel. Further, the processing circuitry selects a reproduction section by selecting at least reproduction-start image data and reproduction-end image data from the plurality of first image data based on bloodstream information of the target region.