An X-ray positioning apparatus according to the present invention is provided with an X-ray video device that generates second X-ray image data in which a respiratory signal of a patient and first X-ray image data are related to each other, a positioning computer that generates patient platform control data for controlling a patient platform, and a photographing trigger generation apparatus that outputs a photographing trigger signal to an X-ray tube； the X-ray positioning apparatus is characterized in that the photographing trigger generation apparatus generates the photographing trigger signal, in accordance with a first frame rate and a second frame rate that is higher than the first frame rate, and in that the positioning computer generates the patient platform control data, based on a reference image and one X-ray image selected from consecutively photographed images that are photographed at the second frame rate.
