diff --git a/.github/workflows/main.yml b/.github/workflows/main.yml
index ed9fc9b2c45..e47d7bb617f 100644
--- a/.github/workflows/main.yml
+++ b/.github/workflows/main.yml
@@ -28,6 +28,8 @@ jobs:
 
       - name: File metadata
         run: npm run check:metadata
+      - name: Check image alt text
+        run: npm run check:alt-text
       - name: Spellcheck
         run: npm run check:spelling
       - name: Check Qiskit bot config
diff --git a/README.md b/README.md
index a1b5a5dfed6..3d616bf52ee 100644
--- a/README.md
+++ b/README.md
@@ -289,6 +289,20 @@ npm run check:metadata -- --apis
 npm run check
 ```
 
+## Check image alt text
+
+Every image needs to have alt text for accessibility. The `lint` job in CI will fail if images do not have alt text defined.
+
+You can check it locally by running:
+
+```bash
+# Only check alt text
+npm run check:alt-text
+
+# Or, run all the checks
+npm run check
+```
+
 ## Spellcheck
 
 We use [cSpell](https://cspell.org) to check for spelling. The `lint` job in CI will fail if there are spelling issues.
diff --git a/docs/guides/custom-transpiler-pass.ipynb b/docs/guides/custom-transpiler-pass.ipynb
index abfa3536099..ed4fb3fb5ee 100644
--- a/docs/guides/custom-transpiler-pass.ipynb
+++ b/docs/guides/custom-transpiler-pass.ipynb
@@ -72,7 +72,7 @@
     "  qc.draw(output='mpl')\n",
     "\n",
     "```\n",
-    "![The circuit's DAG consists of nodes that are connected by directional edges. It is a visual way to represent qubits or classical bits, the operations, and the way that data flows. ](/images/guides/custom-transpiler-pass/DAG_circ.png \"DAG\")\n",
+    "![Circuit preparing a Bell state and applying an $R_Z$ rotation depending on the measurement outcome.](/images/guides/custom-transpiler-pass/DAG_circ.png \"Circuit\")\n",
     "\n",
     "Use the `qiskit.tools.visualization.dag_drawer()` function to view this circuit's DAG.  There are three kinds of graph nodes: qubit/clbit nodes (green), operation nodes (blue), and output nodes (red).  Each edge indicates data flow (or dependency) between two nodes.\n",
     "\n",
@@ -83,7 +83,7 @@
     "dag = circuit_to_dag(qc)\n",
     "dag_drawer(dag)\n",
     "```\n",
-    "![](/images/guides/custom-transpiler-pass/DAG.png)\n",
+    "![The circuit's DAG consists of nodes that are connected by directional edges. It is a visual way to represent qubits or classical bits, the operations, and the way that data flows.](/images/guides/custom-transpiler-pass/DAG.png \"DAG\")\n",
     "</details>"
    ]
   },
diff --git a/package.json b/package.json
index f67d649c9f7..a4dec020db7 100644
--- a/package.json
+++ b/package.json
@@ -15,7 +15,8 @@
     "fmt": "prettier --write .",
     "test": "playwright test",
     "typecheck": "tsc",
-    "check": "npm run check:qiskit-bot && npm run check:patterns-index && npm run check:metadata && npm run check:spelling && npm run check:internal-links && npm run check:orphan-pages && npm run check:fmt",
+    "check": "npm run check:qiskit-bot && npm run check:patterns-index && npm run check:alt-text && npm run check:metadata && npm run check:spelling && npm run check:internal-links && npm run check:orphan-pages && npm run check:fmt",
+    "check:alt-text": "tsx scripts/js/commands/checkAltText.ts",
     "check:metadata": "tsx scripts/js/commands/checkMetadata.ts",
     "check:spelling": "tsx scripts/js/commands/checkSpelling.ts",
     "check:fmt": "prettier --check .",
diff --git a/scripts/js/commands/checkAltText.ts b/scripts/js/commands/checkAltText.ts
new file mode 100644
index 00000000000..c1ddff96650
--- /dev/null
+++ b/scripts/js/commands/checkAltText.ts
@@ -0,0 +1,43 @@
+// This code is a Qiskit project.
+//
+// (C) Copyright IBM 2024.
+//
+// This code is licensed under the Apache License, Version 2.0. You may
+// obtain a copy of this license in the LICENSE file in the root directory
+// of this source tree or at http://www.apache.org/licenses/LICENSE-2.0.
+//
+// Any modifications or derivative works of this code must retain this
+// copyright notice, and modified files need to carry a notice indicating
+// that they have been altered from the originals.
+
+import { globby } from "globby";
+import { findImagesWithoutAltText } from "../lib/extractMarkdownImages.js";
+import { readMarkdown } from "../lib/markdownReader.js";
+
+async function main() {
+  const files = await globby(["docs/**/*.{ipynb,mdx}", "!docs/api/**/*.mdx"]);
+  const fileErrors: string[] = [];
+
+  for (const file of files) {
+    const markdown = await readMarkdown(file);
+    const images = await findImagesWithoutAltText(markdown);
+    const imageErrors = [...images].map(
+      (image) => `The image '${image}' does not have an alt text defined.`,
+    );
+
+    if (imageErrors.length) {
+      fileErrors.push(
+        `Error in file '${file}':\n\t- ${imageErrors.join("\n\t- ")}`,
+      );
+    }
+  }
+
+  if (fileErrors.length) {
+    fileErrors.forEach((error) => console.log(error));
+    console.error("\nSome images are missing alt text 💔\n");
+    process.exit(1);
+  }
+  console.log("\nAll images have alt text ✅\n");
+}
+
+main().then(() => process.exit());
diff --git a/scripts/js/lib/extractMarkdownImages.test.ts b/scripts/js/lib/extractMarkdownImages.test.ts
new file mode 100644
index 00000000000..86c094ce044
--- /dev/null
+++ b/scripts/js/lib/extractMarkdownImages.test.ts
@@ -0,0 +1,40 @@
+// This code is a Qiskit project.
+//
+// (C) Copyright IBM 2023.
+//
+// This code is licensed under the Apache License, Version 2.0. You may
+// obtain a copy of this license in the LICENSE file in the root directory
+// of this source tree or at http://www.apache.org/licenses/LICENSE-2.0.
+//
+// Any modifications or derivative works of this code must retain this
+// copyright notice, and modified files need to carry a notice indicating
+// that they have been altered from the originals.
+
+import { expect, test } from "@playwright/test";
+
+import { findImagesWithoutAltText } from "./extractMarkdownImages.js";
+
+test("Test the extraction of the images", async () => {
+  const markdown = `
+# A header
+
+![Our first image with alt text](/images/img1.png)
+
+![](/images/invalid_img1.png)
+
+![Here's another valid image](/images/img2.png)
+
+![](/images/invalid_img2.png)
+
+![](/images/invalid_img2.png)
+
+![And now, our last link](https://ibm.com)
+    `;
+  const images = await findImagesWithoutAltText(markdown);
+  const correct_images = new Set([
+    "/images/invalid_img1.png",
+    "/images/invalid_img2.png",
+  ]);
+
+  expect(images).toEqual(correct_images);
+});
diff --git a/scripts/js/lib/extractMarkdownImages.ts b/scripts/js/lib/extractMarkdownImages.ts
new file mode 100644
index 00000000000..766714823b0
--- /dev/null
+++ b/scripts/js/lib/extractMarkdownImages.ts
@@ -0,0 +1,39 @@
+// This code is a Qiskit project.
+//
+// (C) Copyright IBM 2024.
+//
+// This code is licensed under the Apache License, Version 2.0. You may
+// obtain a copy of this license in the LICENSE file in the root directory
+// of this source tree or at http://www.apache.org/licenses/LICENSE-2.0.
+//
+// Any modifications or derivative works of this code must retain this
+// copyright notice, and modified files need to carry a notice indicating
+// that they have been altered from the originals.
+
+import { unified } from "unified";
+import { Root } from "remark-mdx";
+import { visit } from "unist-util-visit";
+import remarkParse from "remark-parse";
+import remarkGfm from "remark-gfm";
+import remarkStringify from "remark-stringify";
+
+export async function findImagesWithoutAltText(
+  markdown: string,
+): Promise<Set<string>> {
+  const images = new Set<string>();
+
+  await unified()
+    .use(remarkParse)
+    .use(remarkGfm)
+    .use(() => (tree: Root) => {
+      visit(tree, "image", (node) => {
+        if (!node.alt) {
+          images.add(node.url);
+        }
+      });
+    })
+    .use(remarkStringify)
+    .process(markdown);
+
+  return images;
+}