X-rays are ionizing radiation of very high energy, which are used in the medical imaging field to produce images of diagnostic importance. X-ray-based imaging devices are machines that send ionizing radiation to the patient's body, and obtain an image which can be used to effectively diagnose the patient. These devices serve the same purpose, only that some are the advanced form of the others and are used for specialized radiological exams. These devices have image quality parameters which need to be assessed in order to portray the efficiency, potentiality and negativity of each. The parameters include sensitivity and specificity, radiation dose delivered to the patient, cost of treatment and machine. The parameters are important in that they affect the patient, the hospital management and the radiation worker. Therefore, this paper incorporates these parameters into fuzzy PROMETHEE (Preference Ranking Organization Method for Enrichment Evaluation) multi-criteria decision theory in order to help the decision makers to improve the efficiency of their decision processes, so that they will arrive at the best solution in due course.