Background: X-ray systems in the cardiac catheterization laboratory are essential to helping and treating patients best. However, they come at the cost of harming the patients and health workers through unnecessary high exposure to radiation particles. Aim: The study aimed to evaluate and compare the effectiveness and the radiation doses of the recent Philips imaging systems Azurion Hybrid OR and the older Philips systems Allura Xper FD 10 and Allura clarity FD 10 in the cardiac catheterization laboratories. Method: A descriptive, comparative research design was utilized, 480 procedures were assessed retrospectively, and all met predetermined inclusion criteria from January 2014 until May 2023. Dose area product, Air Kerma, and Fluoroscopy time (Fluro time) were compared between the three Philips systems, which are Allura Xper FD10/10 R 7.2 and Allura Clarity FD10 R8.2 (old system) and Hybrid Azurion new Philips system. Result: Allura clarity FD 10 and Azurion Hybrid OR were superior to Allura Xper FD 10 in Dose Area Product and Air Kerma (p<0.5). However, fluro time was statistically non-significant among the systems. Conclusion: The latest X-ray imaging systems significantly manage Dose Area Product and Air Kerma levels during medical procedures. Employing these advanced technologies in a cardiac catheterization lab can yield optimal outcomes while minimizing radiation exposure for patients and healthcare personnel.