An X-ray computed tomography apparatus includes an X-ray tube, a high voltage generator which generates a high voltage to be applied to the X-ray tube, an X-ray detector having a plurality of X-ray detection element lines, a scanogram generating unit which generates a scanogram on the basis of an output from the X-ray detector, a reconstructing unit which reconstructs an image on the basis of an output from the X-ray detector, a tube current determining unit which determines a tube current value on the basis of the pixel values of a plurality of pixels included in a two-dimensional partial region of the scanogram, and a control unit which controls the high voltage generator on the basis of the determined tube current value.