An x-ray examination apparatus which enables free access to the patient in interventional radiology given a simple structural format has an x-ray radiator and an x-ray image intensifier at least one of which is adjustable on a spherical surface. To this end, at least one of these components, such as the x-ray image intensifier is suspended by a telescopically extendable circular arc section so as to be adjustable in a circumferential direction. The arc section is adjustable in ceiling rails extending perpendicular to the surface defined by the arc section. The suspended component is held in a holder so as to be pivotable around a transverse axis and the holder is longitudinally displaceable.