A system includes: a movable X-ray tube scanner; a range sensor movable with the X-ray tube scanner; an X-ray detector positioned to detect X-rays from the X-ray tube passing through a standing subject between the X-ray tube and the X-ray detector; and a processor configured for automatically controlling the X-ray tube scanner to transmit X-rays to a region of interest of the patient while the subject is standing between the X-ray tube and the X-ray detector.