Tehran University of Medical Sciences Frontiers in Biomedical Technologies 2345-5837 12 4 2025 10 01 Establishing Local Diagnostic Reference Levels for Pediatric Radiography: An In-depth Analysis of Radiation Dose Variation Using Computed Radiography Systems in Morocco 852 860 Hassan Ou hadda Laboratory of Physics of Radiation and Matter, Faculty of Sciences, University Mohammed First, Oujda 60000, Morocco Mustapha Zerfaoui Laboratory of Physics of Radiation and Matter, Faculty of Sciences, University Mohammed First, Oujda 60000, Morocco Karim Bahhous Équipe Sciences de la Matiére et du Rayonnement (ESMaR), Faculty of Science, University Mohammed V in Rabat, Rabat, Morocco Yassine Oulhouq National institute for research in nuclear physics and its applications, University Mohammed First, Oujda, Morocco Abdeslem Rrhioua Laboratory of Physics of Radiation and Matter, Faculty of Sciences, University Mohammed First, Oujda 60000, Morocco Dikra Bakari National School of Applied Sciences, University Mohammed First, Oujda, Morocco 2024 04 02 2024 06 30 The management of radiation dose in pediatric X-ray examinations represents a critical concern in medical imaging, given the heightened vulnerability of children to ionizing radiation. Globally, the reliance on radiographic examinations in pediatrics necessitates stringent dose optimization strategies to mitigate associated risks. This study underscores the pivotal role of computed radiography (CR) systems in enhancing radiation dose management. Through a comprehensive analysis incorporating recent advancements in CR technology, this research delineates the significant reductions in radiation exposure achievable with the adoption of CR systems. Comparing traditional radiographic methods with CR systems within a Moroccan pediatric population, our findings reveal a marked improvement in dose efficiency, without compromising diagnostic efficacy. These results advocate for a broader transition towards computed radiography, highlighting its potential to set new standards in pediatric radiology practices worldwide. This study not only contributes to the body of knowledge on pediatric radiation dose management but also paves the way for implementing safer radiographic examination protocols, ensuring a protective environment for our most vulnerable patients. https://fbt.tums.ac.ir/index.php/fbt/article/view/985 https://fbt.tums.ac.ir/index.php/fbt/article/download/985/529