An X-ray generation unit includes an X-ray generation source and an X-ray beam forming unit, and irradiates a head with an X-ray beam. An X-ray detection unit includes an X-ray detector that receives and detects the X-ray beam transmitted through the head. The support supports the X-ray generation unit and the X-ray detection unit. A drive mechanism moves the support such that the X-ray generation unit and the X-ray detection unit turn about an axis extending in a direction parallel to an apparatus vertical direction and around the head. An X-ray generation source moving unit moves the X-ray generation source in the apparatus vertical direction. The X-ray imaging apparatus increases a spread in the apparatus vertical direction of the X-ray beam when the X-ray generation source is located on an apparatus upper side, and decreases a spread in the apparatus vertical direction of the X-ray beam when the X-ray generation source is located on an apparatus lower side.