Abstract: The presented are X-ray diagnosis method and system using multiple pulsed X-ray source-in-motion tomosynthesis imaging technology. While taking X-ray instrument image data, artificial intelligence (AI) analyzes patient responses, compares current condition with the patient history and other patient information that may become part of a patient. It reports lesions location changes, sets severity threshold and warning status, generate treatment information. It also recommend to a X-ray region of interest (ROI) scan, a complete X-ray CT scan or other health care professionals and specialists.