An embodiment of the invention relates to a method for generating a tilted tomographic X-ray map. In an embodiment, the method includes providing a 3D image data set; determining, based on the 3D image data set, synthetic mammograms corresponding to different angles within the defined projection angle range; determining a point of interest in one of the synthetic mammograms; calculating coordinates of the point of interest in the one synthetic mammogram or the 3D image data set; determining a tilted image plane through the examination object, the tilted image plane including the point of interest and the rotation axis; generating the tilted tomographic X-ray image in the tilted image plane based on the provided 3D image data set; and displaying the tilted tomographic X-ray image.