According to one embodiment, an X-ray diagnostic apparatus includes an X-ray tube, a driver, a supporter, and processing circuitry. The X-ray tube including a rotating anode. The driver rotates the rotating anode. The supporter supports the X-ray tube in an inclinable manner. The processing circuitry acquires information indicating an attitude of the supporter and controls the driver based on information indicating the acquired attitude.

A contactless and/or non-invasive system and method of determining the rotational state and/or speed of a rotor is provided for an X-ray tube including a liquid metal bearing. The system includes a vibration sensor that is affixed to the exterior of the x-ray tube and is utilized to detect the vibrations generated by the spinning of the rotor and liquid metal bearing assembly within the x-ray tube. The x-ray tube has signature vibration signal based on the construction and rotor speed of the x-ray tube. The system and method of the invention used to detect the rotor state/speed includes a sensor to pick up the vibration from the x-ray tube and perform signal processing, and a software algorithm stored within the device or on an operably connected device or system that can analyze the vibration data from the sensor to indicate whether the anode in the x-ray tube is spinning.