1. A method to create a medical image, the method comprising: receiving, by a computer system, a plurality of patient tissue images during an x-ray dose; determining, during the x-ray dose, if motion occurred in the plurality of patient tissue images; in a case that motion occurred, determining if the motion occurred at a start of the X-ray dose, a middle of the X-ray dose, or at an end of the X-ray dose; and in a case that motion occurred at the start of the X-ray dose, discarding the patient tissue images prior to a time when the motion occurred and increasing a time of the x-ray dose.