6.1 Working principle and types of medical X-ray tubes6.1.1 Stationary anode tubes6.1.2 Miniature tubes6.1.3 Rotating anode tubes6.1.4 Rotating frame tubes6.2 Tube components in detail6.2.1 The cathode6.2.1.1 Energy required for electron production—work function6.2.1.2 Mechanisms of electron emission6.2.1.3 Robustness of the tungsten emitter6.2.1.4 Cathode characteristics—the emission chart6.2.1.5 Filament heating6.2.1.6 Electron beam focusing and metric for the focal spot size6.2.1.7 Off-focal radiation6.2.1.8 Special cathode features6.2.1.9 Grid switching for fluoroscopy application6.2.1.10 Advanced electron optics in medical X-ray tubes6.2.1.11 Alternatives to tungsten emitters6.2.1.12 Charge balance inside the X-ray tube6.2.2 The anode6.2.2.1 Stationary anode targets6.2.2.2 Rotating anode targets6.2.2.3 Thermal balance6.2.2.4 Cooling channels6.2.2.5 Temperatures in CT application6.2.2.6 Temperatures in interventional and general radiography application6.2.2.7 Metric of anode heat storage capacity abandoned—IEC standard6.2.2.8 Stating thermal X-ray tube performance6.2.3 Rotor systems, drives, and vacuum bearings6.2.3.1 Rotor drive6.2.3.2 Rotor dynamics, moment of inertia, and start-up time6.2.3.3 Vibration and noise6.2.3.4 Gyroscopic momentum6.2.3.5 Ball bearing systems6.2.3.6 Spiral groove or liquid metal bearings6.2.3.7 Magnetic bearings6.3 The tube frame6.4 Maintaining vacuum6.5 Vacuum discharges and high-voltage stability6.6 ProblemsReferences