Both Urbaniok and Endrass distinguish between two types of perpetrators: There are pedosexuals who can easily distinguish their fantasies from reality and control their behavior. “It makes sense for these people to live out their needs in their imagination, because this reduces the risk of assaults,” says Urbaniok. They would kind of have an outlet with AI images.
I think this type of realization is also thanks to all the current research exploring alternatives and more access to paedophiles willing to take part in studies. Studies like these are important: