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Disclosed are an image management method, apparatus and program through which shot images can be managed in ideal fashion without outputting unnecessary film even in a case where re-shooting is performed a number of times in regard to a shoot order. Management of shot images in a medical digital X-ray photography apparatus (4) includes acquiring a shot image of an imaged subject, instructing the image sensing device to re-shoot the image of the subject, acquiring the re-shot image of the subject that has been imaged by the image sensing apparatus, and storing the acquired shot image and the re-shot image on a hard disk (12) in correlated form. Management further includes adopting the shot image and the re-shot image that have been stored on the hard disk (12) as an invalid image and a valid image, respectively, and outputting the valid image from the hard disk (12) to an external device or the like.