The use of computed tomography (CT) has increased in number during the last decade. Patients undergoing CT scans are exposed to ionizing radiation that can lead to radiation-induced damage. Radiation hygenic reflections are required as well as radiation reducing measures to optimize CT surveys. The purpose of this integrative review was to compile radiation reductive measures for CT surveys. Based on the purpose, the questions were designed from the issue: - Are radiation reductive measures relevant? How can the radiograph optimize radiation dose? A total of 12 articles were included, 7 evidence-based and 5 integrative review, all published in the past 3 years. The purpose of the studies was to report if and what radiation reductive measures were preferable and which had the best outcome without compromising image quality. The results indicated that radiation reductive measures are relevant for the radiographer for radiation optimization. There were some discussions however external radiation protection is useful for the patient and how much impact automated exposure control has over radiation dose.