Open-vocabulary object detection (OvOD) is set to revolutionize security screening by enabling systems to recognize any item in X-ray scans. However, developing effective OvOD models for $X$-ray imaging presents unique challenges due to data scarcity and the modality gap that prevents direct adoption of RGB-based solutions. To overcome these limitations, we propose $\boldsymbol{R A X O}$, a training-free framework that repurposes off-the-shelf RGB OvOD detectors for robust X-ray detection. RAXO builds high-quality X-ray class descriptors using a dual-source retrieval strategy. It gathers relevant RGB images from the web and enriches them via a novel X-ray material transfer mechanism, eliminating the need for labeled databases. These visual descriptors replace text-based classification in OvOD, leveraging intra-modal feature distances for robust detection. Extensive experiments demonstrate that RAXO consistently improves OvOD performance, providing an average $m A P$ increase of up to 17.0 points over base detectors. To further support research in this emerging field, we also introduce DET-COMPASS, a new benchmark featuring bounding box annotations for over 300 object categories, enabling large-scale evaluation of OvOD in X-ray. Code and dataset available at: https://pagf188.github.io/RAXO/.