The present invention relates to providing X-ray image data of an object. In order to provide a medical X-ray imaging system with improved practicability, a medical X-ray imaging system (100) is provided, comprising at least one X-ray detector (110), an X-ray source arrangement (120), and a patient table (130). The patient table is configured to receive an object for imaging a region of interest (140) of the object. The at least one X-ray detector is movably mounted above the patient table； and the at least one X-ray detector and the X-ray source arrangement are movable independently. The X-ray source arrangement is configured to provide X-ray radiation to the region of interest from a number of positions (150) forming a concave open trajectory (160), wherein a middle portion (170) of the trajectory is located below the patient table； and wherein two end regions (180) of the trajectory are extending on the two lateral sides of the table and above the table. The positions are provided by a physical trajectory support structure (190).
