
Radiologists today are expected to report more complex studies in less time.
One of the most harmful beliefs in radiology is that it’s dangerous to even talk about speed. Speed is a learnable skill, separate from knowledge, yet most doctors are left to figure it out themselves.
To not share best practices adds to radiologist burnout.
What is the best way to report more MSK studies faster?
I wrote a book on that question, Speed MSK, and I coach hundreds to report fast in my Virtual MSK Fellowship, but I’ve heard doctors brag about sub-1-minute reports. One teleradiologist messaged me that he reports 150 cases per day.
I began the MSK Olympics to put such claims to the test!
- Dr. Christoph Agten,
MSK radiologist and mentor
Support radiology education and reach thousands of radiologists worldwide.

We had 191 doctors apply from 46 different countries who report in 18 different languages! People joined to gain experience, pick up tips, benchmark their speed against others, for fun, and to win!
The rules were simple: over three rounds—ankle, knee, and shoulder—the fastest to submit an accurate report won. You can watch a recap of each round below.
No single approach won.
The fastest used many tools and techniques. That diversity suggests our specialty still has a lot of room for improvement. Logically, there must be best practices, some methods better than the rest.
Whether in sport, medicine, or science, studying outliers benefits everyone.
Peak performers show a horizon we can all walk toward.
The ambition of the MSK Olympics 2026 is to reveal that horizon. If you want to watch, compete, or take part in any way, please sign up and I’ll send you more info.
This knee looked easy. It was not.
Many failed for the same reason. They saw the tear on one view and stopped looking. The winner wrote a perfect report in under two minutes with no AI, just skill.
This round's big surprise was that only 8 out of 65 qualified!
The problem was a crucial finding hidden outside the main area of interest. It just goes to show: never skip your search pattern.
The final round winner was so fast I thought it was fake.
It was a very tough ankle most got wrong. The winner used a very impressive AI-assisted workflow to get a ridiculously fast time.
The livestream felt like a busy trauma list!
My co-host Heathcote Ruthven and I managed chat, raffles, and how to give 70+ radiologists the same case as the same time.
In between rounds I shared my search patterns. Dr. Rola Mahmood gave post-op shoulder tips, Kay-Geert Hermann showed Berlin Case Viewer, and we toured IMAIOS e-Anatomy’s new 3T knee module.
Despite hiccups, it was fun!
"It keeps the fire burning in me to give more focus and keep improving my MSK MRI skill."
I loved the rush and competitiveness of it all...To try my best to be fast in a safe, nonjudgmental environment.
"The best part was to compare my reports with international colleagues."
Congratulations on all who took part!
Support radiology education and reach thousands of radiologists worldwide.
"Great event with fun and learning side by side."
"It was an amazing experience! We should do it more often."
"Awesome event. This should be organized annually."
"I loved the adrenaline rush of reporting quickly to win a prize!"
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