XPLUS microTOMO is a mobile all-in-one X-ray system integrating four capabilities: real-time low-dose C-arm imaging, rotation-free 3D tomosynthesis, AI-assisted BMD screening for adults and older adults, and AI-assisted bone-age analysis for children and adolescents. It provides real-time 2D fluoroscopy for musculoskeletal imaging and procedures. When depth information is needed, only the X-ray source moves linearly to acquire multi-angle projections without rotating the C-arm around the patient. These projections are reconstructed into 3D tomosynthesis images for review within 45 seconds. Life-stage-specific AI analysis supports different bone-health needs from childhood through older adulthood. Adult and older-adult hand X-rays are analyzed for bone-density-related information to support low-BMD screening. Pediatric and adolescent hand X-rays are analyzed for bone age and skeletal maturity to support growth assessment and treatment planning.