This article summarizes the proceedings of the recent symposium sponsored by Bracco Imaging at ECR 2018 on X-Ray imaging. Chaired by Prof. M Prokop, the symposium featured presentations by three experienced clinicians describing respectively the current cstatus and future prospects in mammography; the key principles in improving the use of iodinated contrast media in modern CT systems and the optimal management of patient safety and economic aspects in a modern CT unit.