A medical radiological system has a radiological device with at least one element that can be electrically adjusted in order to allow an adaptation of the radiological device to body dimensions of a patient to be examined. The radiological device has a controller with an interface that receives a patient parameter set from a computer, with which patient data are processed and stored. The controller calculates a desired position of the element from the received patient data set, and automatically controls positioning of the element by electrically adjusting the element to the desired position.