A radiographic X-ray apparatus is equipped with multiple devices for the acquisition of anatomical data, in particular cameras. These devices are used to facilitate and automate the imaging process, providing: before exposure the automated identification of the specific anatomical features of the patient and the optimized presetting of the exposure technique factors and projection geometry, tailored on the actual anatomy of the patient; during exposure the optimized X-ray dose modulation, either automatically or selected by the operator, in order to correctly expose the various regions of interest, and accordingly impart reduced dose to other body parts, according to the actual anatomy of the patient and imaging requirements; after exposure the possibility to complement the radiographic image with additional information about the internal and external anatomy, providing valuable tools for the medical analysis and diagnosis.