A method for generating a tilted tomographic X-ray image of an examination object, the method comprising: - providing a 3D image data set comprising a plurality of projection X-ray images generated by a tomosynthesis apparatus by moving an X-ray tube of the tomosynthesis apparatus along a path around a rotation axis relative to the examination object and irradiating the examination object with X-ray at different projection angles up to a maximum projection angle, and via an image processing module: - determining, based on the 3D image data set, synthetic mammograms corresponding to different angles within the defined projection angle range, - determining a point of interest in one of the synthetic mammograms, - calculating coordinates of the point of interest in said one synthetic mammogram or the 3D dataset, - determining a tilted image plane through the examination object, the tilted image plane comprising the point of interest and the rotation axis, - generating the tilted tomographic X-ray image in the tilted image plane based on the provided 3D image data set, - displaying the tilted tomographic X-ray image, wherein the point of interest is defined by a radial distance r of the point of interest from the rotation axis and a rotation angle φ and wherein the data set coordinates are determined in a Cartesian coordinate system (x,y,z) using the radial distance r and the rotation angle φ, and - determining at least one second neighboring tomographic image passing through the rotation axis at an angle located between φ + Δφ and φ - Δφ, with Δφ being smaller than 10% of the rotation angle φ, and displaying the at least one second neighboring tomographic image. - providing a 3D image data set comprising a plurality of projection X-ray images generated by a tomosynthesis apparatus by moving an X-ray tube of the tomosynthesis apparatus along a path around a rotation axis relative to the examination object and irradiating the examination object with X-ray at different projection angles up to a maximum projection angle, and via an image processing module: - determining, based on the 3D image data set, synthetic mammograms corresponding to different angles within the defined projection angle range, - determining a point of interest in one of the synthetic mammograms, - calculating coordinates of the point of interest in said one synthetic mammogram or the 3D dataset, - determining a tilted image plane through the examination object, the tilted image plane comprising the point of interest and the rotation axis, - generating the tilted tomographic X-ray image in the tilted image plane based on the provided 3D image data set, - displaying the tilted tomographic X-ray image, wherein the point of interest is defined by a radial distance r of the point of interest from the rotation axis and a rotation angle φ and wherein the data set coordinates are determined in a Cartesian coordinate system (x,y,z) using the radial distance r and the rotation angle φ, and - determining at least one second neighboring tomographic image passing through the rotation axis at an angle located between φ + Δφ and φ - Δφ, with Δφ being smaller than 10% of the rotation angle φ, and displaying the at least one second neighboring tomographic image. - determining, based on the 3D image data set, synthetic mammograms corresponding to different angles within the defined projection angle range, - determining a point of interest in one of the synthetic mammograms, - calculating coordinates of the point of interest in said one synthetic mammogram or the 3D dataset, - determining a tilted image plane through the examination object, the tilted image plane comprising the point of interest and the rotation axis, - generating the tilted tomographic X-ray image in the tilted image plane based on the provided 3D image data set, - displaying the tilted tomographic X-ray image, wherein the point of interest is defined by a radial distance r of the point of interest from the rotation axis and a rotation angle φ and wherein the data set coordinates are determined in a Cartesian coordinate system (x,y,z) using the radial distance r and the rotation angle φ, and - determining at least one second neighboring tomographic image passing through the rotation axis at an angle located between φ + Δφ and φ - Δφ, with Δφ being smaller than 10% of the rotation angle φ, and displaying the at least one second neighboring tomographic image.