An X-ray television apparatus applies an X-ray to an object to be inspected, converts the X-ray projection image of the object into an optical image by a fluorescent screen or an X-ray image intensifier, picks up the optical image by a TV camera, displays the video signal obtained by a TV monitor for fluoroscopic monitoring, and records radiograph of the object by using the video signal. Avalanche multiplication is caused on the photoconductive layer of the image pick-up tube of the TV camera so as to enable monitoring or imaging with high sensitivity at a low X-ray dose rate.