Radiology has undergone enormous technological and hence organizational changes in the last few decades. These changes occurred more or less in unison with total state expenditures for healthcare, whereas individual disposable income increased twice as much in the same timeframe (1988-2003). Costs for medical technology account for approximately 3-5% of national healthcare expenditures. On the national level, but also in a central hospital setting, radiology does not constitute a major cost factor. Tomographic investigations have increased by 2-3% in recent years and currently represent 30% of all radiological procedures. Increasing sophistication of diagnostics and treatment using genetic and molecular techniques, novel information technologies, and a critical evidence-based approach to all functional activity will result in a further explosion of knowledge. Radiology must meet these challenges head on by intensifying all forms of training, from basics to continuing professional education.