Methods and systems for medical imaging including synthesizing virtual projections from acquired real projections and generating reconstruction models and images based on the synthesized virtual projections and acquired real projections. For example, first x-ray imaging data is generated from a detected first x-ray emission at a first angular location and second x-ray imaging data is generated from a detected second x-ray emission at a second angular location. Based on at least the first x-ray imaging data and the second x-ray imaging data, third x-ray imaging data for a third angular location relative to the breast may be synthesized. An image of the breast may be displayed or generated from the third x-ray imaging data.
