Clinical/methodical issue: Problems arise due to the increased clinical use of computed tomography (CT) and the high radiosensitivity of children.
Standard radiological methods: The ALARA concept (as low as reasonably achievable) prevails in pediatric radiology.
Methodical innovations: Justified indications and full utilization of available dose optimization methods.
Performance: Medical physicists and the manufacturers should support pediatric radiology in the implementation of the ALARA concept.
Achievements: The referring physicians and radiology staff should be integrated into training programs.
Practical recommendations: Sufficient diagnostic image quality is paramount and not the pretty images.