Dr Christoph Agten

I'd like to know more about you.

Which of these best describes your career stage?

1 week ago | [YT] | 10

Dr Christoph Agten

Most radiologists struggle to report the TFCC.

One study of 800 MRIs found the TFCC was incorrectly called normal 45% of the time. These missed tears mean delayed treatment. But worse than that, one in three tears reported were false positives.

This overcalling can lead to unnecessary surgery -- and an angry surgeon!

In my new video I walk through five of my fellows' TFCC cases. The MRI start easier then get more and more complex. Watch them all and you'll discover a framework to read TFCC MRI that goes beyond the disc.

Please let me know:
- Want me to do more pathology case compilation videos?
- Which real-world messy cases would you like to see me discuss?

3 weeks ago | [YT] | 24

Dr Christoph Agten

You don't need more anatomy knowledge to report knee MRIs faster. You need a systematic protocol .
We taught four radiologists a new search pattern and measured their times on 10 consecutive, real-world clinical cases before and after.
The results were undeniable. Gianluca cut his reporting time by 48.9%, doubling his speed . Matic, Shanyar, and Giles all increased their speed by a factor of 1.3x to 1.4x .
Speed is a learnable skill.
Registration for this founding cohort is NOW OPEN. The live, 5-week course runs from June 8 to July 12.
Link: knee.agten.org/

4 weeks ago | [YT] | 16

Dr Christoph Agten

Do you have a Plan B as a radiologist?

Join Dr Imran Lasker and me this Thursday for a discussion of alternative pathways, side hustles and ways to diversify for a stable future in this live webinar: Life beyond the reporting room.

this is for radiologists that are interested to learn how to balance work-life, side hustles, and might hopefully give inspiration to many!


📅 May 21, 2026

⏰ 7:00 PM (UK Time)

You need to register to participate and seats are limited!


Link to register:

us02web.zoom.us/webinar/register/1817785856360/WN_…

1 month ago (edited) | [YT] | 3

Dr Christoph Agten

If you do not have a plan, you are part of someone else's plan.

Too many radiologists follow an automatic path. We are trained to report scans. We focus on the next exam, the next fellowship, the next consultant post. We assume the rest will take care of itself.

That assumption used to be safe. It no longer is.

Next week I'm having an honest conversation about the past, present, and future of careers in radiology. I'll share what I wish someone had told me 20 years ago.

Wednesday 21 May, 19:00 UK time. Live with Dr. Imran Lasker: "Life Beyond the Reporting Room."

We'll cover how clinicians balance full-time practice with outside ventures — education, startups, consulting, AI, media. The stuff you cannot learn from books.

Live only on Zoom. Registration link: us02web.zoom.us/webinar/register/3917785898895/WN_…

Drop a comment if there's something specific you want me to cover.

1 month ago | [YT] | 9

Dr Christoph Agten

How often does your MSK reporting list spill over into your personal life?

1 month ago | [YT] | 1

Dr Christoph Agten

1 month ago | [YT] | 9

Dr Christoph Agten

Textbook cases never look like the mess you see on your worklist.

If you want to see more real-world MSK cases, join 2,500+ radiologists in the largest free MSK Radiology community online: www.skool.com/mskrad

P.S. In the 'Classroom' tab you can buy the Agten Library with my video feedback on 1,300 real MSK cases. One radiologist said: "It gave me more confidence about the gray zone cases. Now I can decide what is relevant and what is not."

2 months ago | [YT] | 28

Dr Christoph Agten

TONIGHT: The Cognitive Science of 2x Reporting Speed” (a live webinar I’ll give at 6pm PST/9pm EST - dub.sh/AgtenWebinar ).

Who’s coming?

Monday, Feb 23rd
6 PM – 7PM PST
9 PM – 10 PM EST

Register here: dub.sh/AgtenWebinar

⚠️ No recordings. No slides sent later. Live only!

4 months ago | [YT] | 5

Dr Christoph Agten

AI won't fix your burnout.

I saw this in a 2026 European Radiology paper while preparing “The Cognitive Science of 2x Reporting Speed” (a live webinar I’ll give TOMORROW at 6pm PST/9pm EST - dub.sh/AgtenWebinar ).

The review looked at whether AI reduces radiologist burnout and found the evidence is limited. Meta-analyses show no clear reduction in time on imaging tasks. Some studies show AI increases workload.

It was reposted by Dr. Woojin Kim, who pointed out that “ If an AI tool makes me 20% faster, but the hospital administration increases my RVU target by 20%, I am not less burnt out. I am just processing more pixels per second.”

Often, “AI efficiency” is just nice way to say “ more money for the employer”.

The main driver of radiologist burnout is the constant feeling of needing to work faster than feels optimal. Not the actual workload itself, but the feeling of trying to catch up.

Researchers call it a velocity deficit.

And no AI tool fixes that feeling.

Because the feeling comes from inside your own workflow — your decision lag, your calibration uncertainty, the cognitive friction of not fully trusting your own conclusions. GenAI reporting tools promise to remove words from your dictation. But the words were never the bottleneck.

When I report, I think and speak simultaneously. There is almost no lag between when I look at a structure and dictate my interpretation.

AI will keep getting sold to hospital administrators as the answer to burnout. Because "improve efficiency" is nice language for "increase throughput."

The actual solution to burnout happens at the human level: learning to think faster, more confidently, with a calibrated system behind you.

That's what I've been teaching for years — and I'll break down the science behind it in my webinar tomorrow evening.

Who’s coming?

🗓️ When: Monday, Feb 23 | 6:00 PM – 7:00 PM PST (9:00 PM – 10:00 PM EST)

📍 Where: dub.sh/AgtenWebinar

⚠️ No recordings. No slides sent later. Live only!

Register here: dub.sh/AgtenWebinar

4 months ago | [YT] | 12