Tomosynthesis data may be acquired from a radiation source that substantially continuously emits radiation while its position is varied relative to a photon counting x-ray detector. The detector detects photons comprised within the radiation and photon data indicative of the detected photons is generated. The photon data may comprise data related to a detected photon's detection time, detection location on the detector, energy level, and/or trajectory from the radiation source, for example. The photon data of various photons may be compiled into a plurality of bins and, through reconstruction and tomosynthesis techniques, produce synthesized images of various tomography planes of an object under examination. In this way, the tomosynthesis techniques rely on counting photons rather than measuring their energy to create synthesized images.