Technology strategy roadmap planning is part of the research of technology foresight. The purposes of investigating investigatthe technologies strategy roadmap is to direct the industrial technology developments and specific items for devoting development resources. Taking into account market demands and technological capabilities, the development of Taiwan's technology strategy roadmap following five steps: (1) Identifying market driving forces; (2) Understanding product features demanded; (3) Deriving the specific items of technologies to be developed; (4) Drawing the technology strategy roadmap; and (5) Suggesting R&D resources investment. This study, by using digital X-ray machine which is a high-end medical equipment, as an example to illustrate how the technology strategy roadmap is drawn. Three technological bottlenecks are identified, including X-ray source, medical imaging system and X-ray sensors, through benchmarking with leading firms in the field and in-depth personal interviews with industrial experts and executives. The government supports, such as Technology Development Program (TDI), and international collaborations are suggested to make up these gaps so that the firms in Taiwan can play a major role in the value chain of the digital X-ray machine.