ArticleEuropean radiology2025
ESUR consensus MRI for endometriosis: indications, reporting, and classifications.
Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Gynecologic imaging errors and pitfalls: how to avoid misdiagnosis on pelvic MRI.Insights into imaging · 2026Review
- Why aren't the ENZIAN and # ENZIAN classification systems used more widely in Europe?European radiology · 2026Article
- Head-to-head prospective comparison of diagnostic accuracy of preoperative ultrasonography and MRI in patients undergoing surgery for deep endometriosis using #Enzian classification.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026Observational
- Diaphragmatic endometriosis: a practical radiologic guide to diagnosis, mapping, and multidisciplinary surgical planning.Abdominal radiology (New York) · 2026Review
- Thoracic Endometriosis and Catamenial Pneumothorax: Imaging Pitfalls and an Integrated Diagnostic Approach.Journal of clinical medicine · 2026Review
- Medical illustrations in radiologic reports for endometriosis: improving communication with surgeons and patients.Insights into imaging · 2026Article
- Clinical value of clinical symptoms, serum biomarkers, and coagulation parameters for ovarian endometrioma diagnosis.Journal of ovarian research · 2026Article
- Mind the gap: underreporting of key compartments in endometriosis MRI with free-text and non-disease-specific templates.Insights into imaging · 2026Article
- The Diagnostic Performance of Transvaginal Ultrasound for Posterior Compartment Endometriosis Compared to Laparoscopic and Histopathological Findings: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo propose an update of ESUR endometriosis guidelines to reflect advances in MRI indications, reporting, and classifications.
methodsThe ESUR Research Committee appointed two chairs (I.T.N., L.M.) to supervise the development of the updated guidelines. Following literature research, a survey was delivered to 20 experts in gynecological imaging from 10 countries. Two rounds of surveys were conducted to obtain a consensus according to a Delphi process method. In this article, the results regarding MR indication, the use of standardized reports, and classifications are presented
resultsMagnetic resonance imaging (MRI) is recommended when transvaginal ultrasonography is inconclusive in diagnosing endometriosis or negative, in a symptomatic patient, before surgery or interventional procedure, or after surgical treatment if symptoms persist. ESUR panelists consider the roles of an MR classification: to improve communication between radiologist and surgeon (100%, 20/20) and between the radiologist and the patient (45%, 9/20), to predict operating time if surgery is planned (70%, 14/20), to predict the length of hospital stay after surgery (40%, 8/20), and to predict postoperative complications (70%, 14/20). ESUR panelists strongly agree that using an MR classification is useful (19/20, 95%), especially the radiological score, deep-pelvic endometriosis index (dPEI). Among the ESUR expert group, 9/20 experts (45%) used or agreed to use drawings in their report to improve communication with patients.
conclusionStandardized MR reporting is crucial and should include the use of MR classification. Drawings are considered an option, knowing that communication with the patient and surgeon is of paramount importance. KEY POINTS: Question ESUR's endometriosis guidelines were last published in 2017; an update is provided to reflect advances in MRI indications, reporting, and classifications. Findings MRI is advised for inconclusive/negative transvaginal ultrasound in symptomatic patients, before surgery, or post-treatment if symptoms persist. A structured report enhances communication with surgeons and patients. Clinical relevance A standardized report based on a compartmental analysis of the location of endometriotic nodules, with optional drawings, is essential for comprehensive mapping and optimal communication with both patient and surgeon.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.