How to become a Radiological Technologist
Also called: Medical X-ray Technician, Radiographer, Radiation Technologist
Carries out tests and treatment using radiation in medical settings, as directed by doctors and dentists.
Main tasks
- Explaining test procedures to patients, guiding them onto the table and positioning them
- Adjusting the positions of the X-ray machine and the patient and setting the exposure time and distance
- Taking safety measures to protect patients and staff from radiation
- Watching the video screen showing the area being scanned and adjusting resolution and contrast
- Operating the computer to capture the images needed
- Operating equipment to deliver radiation
- Managing the radiation doses received by staff and patients
- Telling the doctor about any abnormal findings
- Helping operate equipment when doctors use it to diagnose
- Giving other medical staff technical information about tests
- Carrying out tests on site during mobile health screenings
- Adjusting testing equipment and making maintenance plans
- Managing testing equipment and supplies
- Disinfecting testing equipment
- Notifying government offices about installing equipment and similar matters
- Preparing budgets for radiology work
- Buying new testing equipment
- Taking part in events that explain why health screening matters
- Attending study sessions and training to gain knowledge and skills
Workers in this job say university or vocational college (senmon gakko) is common. From job tag's survey of people in each job, who could give several answers. It shows what workers see as common, not how many workers hold each level.
How to become one
To become a radiological technologist you must pass a national exam run by the Ministry of Health, Labour and Welfare and get a licence. After high school, you become eligible for the exam by completing the required hours at a government-designated training institution, such as a four-year university, a three-year tanki daigaku (junior college) or a senmon gakko (vocational college) with three-year day or four-year evening courses. Three-year institutions are now moving to four-year courses, and the number of four-year university courses is rising each year. New graduates often find work through their school or training institution or through job advertisements in professional journals. The Japan Association of Radiological Technologists and the prefectural associations also help people find jobs.
Ways in
- University: Allied Health degrees, Offered by 52 universities in Japan
- Vocational college, junior college, kosen and trade skills tests: Junior college (短期大学) programme. 26% of workers surveyed by job tag say junior college graduates are common in this job. In March 2025, 1,353 junior college graduates started work in medical technology (100% 保健) (School Basic Survey 2025, table 103).; Vocational college (専門学校) course: Diagnostic radiography. 専修学校 courses in 診療放射線 (医療関係) had 705 graduates in the 2024 school year, 459 of whom started work in a related field (School Basic Survey 2025, table 237). Course matched to the occupation by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 第1種放射線取扱主任者、第2種放射線取扱主任者. English name and classification by Peernovo.
- National licence or qualification: Listed by job tag as a qualification related to this job (関連資格): 診療放射線技師. Needed to do this job (Peernovo, from job tag's entry description). English name and classification by Peernovo.
Pay · Job openings · AI and this job
- Average annual income: ¥5,564,800 Private sector only: employers with 10 or more staff. Public servants, such as public school teachers and police officers, are not in these figures.
- Monthly base pay (before overtime and bonus): median ¥329,000, and the middle half earn ¥275,100 to ¥399,100 a month.
- 3.08 job openings per applicant at Hello Work (2025). A current demand signal, not a projection. It counts only the jobs and job seekers registered at Hello Work, Japan's public employment offices, and many graduate and professional hires never pass through it.
- Generative AI can do relatively little of this work, by the ILO's global estimate.
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Questions people ask
How do I become a Radiological Technologist?
To become a radiological technologist you must pass a national exam run by the Ministry of Health, Labour and Welfare and get a licence. After high school, you become eligible for the exam by completing the required hours at a government-designated training institution, such as a four-year university, a three-year tanki daigaku (junior college) or a senmon gakko (vocational college) with three-year day or four-year evening courses. Three-year institutions are now moving to four-year courses, and the number of four-year university courses is rising each year. New graduates often find work through their school or training institution or through job advertisements in professional journals. The Japan Association of Radiological Technologists and the prefectural associations also help people find jobs.
How much does a Radiological Technologist earn in Japan?
Average annual income in the private sector, bonus included, is ¥5,564,800 (Ministry of Health, Labour and Welfare).
Do you need a degree to become a Radiological Technologist?
Not always. In this job's census occupation group, 43% of workers are university graduates. Ways in include: Allied Health degrees; Junior college (短期大学) programme; Vocational college (専門学校) course: Diagnostic radiography.
Will AI change the work of a Radiological Technologist?
Generative AI can do relatively little of this work, by the ILO's global estimate.
Sources
- Ministry of Health, Labour and Welfare: Basic Survey on Wage Structure (賃金構造基本統計調査) 2025: earnings by occupation (2025 survey (June 2025 pay, 2024 bonus), published 2026-03-24), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Ministry of Health, Labour and Welfare: Employment Referrals for General Workers (一般職業紹介状況): Hello Work job-openings-to-applicants ratio by occupation (2025 annual (release of 2026-10-02)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- Statistics Bureau of Japan (MIC): 2020 Population Census (令和2年国勢調査) detailed sample tabulation: employed by occupation, sex, age and education (2020 Census (tables 9-1 and 15-1, published 2022-12-27)), Government Standard Terms of Use 2.0, retrieved 4 October 2026
- JILPT (職業情報データベース) via MHLW job tag: job tag download data: 解説系 (descriptions, how to become, related qualifications) and 簡易版数値系 (interests, tasks, education) (解説系 ver.7.01 (2026-06-04); 簡易版数値系 ver.7.00 (2026-03-17)), retrieved 4 October 2026
- International Labour Organization, Generative AI and Jobs: A Refined Global Index of Occupational Exposure (ILO Working Paper 140, Gmyrek et al.) (ILO Working Paper 140, May 2025, Annex Table A1), CC BY 4.0, retrieved 4 October 2026
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 解説系ダウンロードデータ(IPD_DL_description_7_01.xlsx)ver.7.01 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
独立行政法人労働政策研究・研修機構(JILPT)作成 職業情報データベース 簡易版数値系ダウンロードデータ(IPD_DL_numeric_7_00.xlsx)ver.7.00 職業情報提供サイト(job tag)より2026年10月4日にダウンロード(https://shigoto.mhlw.go.jp/User/download)を加工して作成
Sources: JILPT Occupational Information Database download data via job tag (解説系 ver.7.01 and 簡易版数値系 ver.7.00, downloaded 4 October 2026), processed by Peernovo; MHLW, Basic Survey on Wage Structure 2025; Statistics Bureau of Japan, 2020 Population Census; MEXT, School Basic Survey 2025; MHLW, Employment Referrals for General Workers (Hello Work statistics). Figures processed by Peernovo. English job names, translations and the matching of jobs to statistical groups, schools and degree fields by Peernovo.
Updated 4 October 2026
