This X-ray imaging device has an X-ray source, an X-ray detector, an image generation unit for generating an X-ray image, a site acquisition unit for acquiring a region for each site in the X-ray image based on a trained model, a region-of-interest selection unit for selecting a region-of-interest, and an X-ray condition adjustment unit to adjust the conditions of X-rays emitted from the X-ray source based on a first pixel value that a pixel value in the region-of-interest.