X-ray imaging systems and methods utilize an imaging apparatus comprising an emitter emitting X-rays through an object and a receiver receiving the X-rays. A control circuit controls the emitter and processes the X-rays received by the receiver to generate X-ray images of the object. The control circuit controls the imaging apparatus to generate an X-ray positioning image of the object controls the display to display the positioning image, the display of the positioning image being modifiable by a user and controls the imaging apparatus to generate an X-ray image of the object based upon a user modification of the display of the positioning image.