Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and International Deep Endometriosis Analysis (IDEA) group, the European Endometriosis League (EEL), the European Society for Gynaecological Endoscopy (ESGE), ESHRE, the International Society for Gynecologic Endoscopy (ISGE), the American Association of Gynecologic Laparoscopists (AAGL) and the European Society of Urogenital Radiology (ESUR) elected an international, multidisciplinary panel of gynecological surgeons, sonographers, and radiologists, including a steering committee, which searched the literature for relevant articles in order to review the literature and provide evidence-based and clinically relevant statements on the use of imaging techniques for non-invasive diagnosis and classification of pelvic deep endometriosis. Preliminary statements were drafted based on review of the relevant literature. Following two rounds of revisions and voting orchestrated by chairs of the participating societies, consensus statements were finalized. A final version of the document was then resubmitted to the society chairs for approval. Twenty statements were drafted, of which 14 reached strong and three moderate agreement after the first voting round. The remaining three statements were discussed by all members of the steering committee and society chairs and rephrased, followed by an additional round of voting. At the conclusion of the process, 14 statements had strong and five statements moderate agreement, with one statement left in equipoise. This consensus work aims to guide clinicians involved in treating women with suspected endometriosis during patient assessment, counselling, and planning of surgical treatment strategies.

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© The Author(s) 2024. Published by Oxford University Press on behalf of European Society of Human Reproduction and Embryology.

Déclaration de conflit d'intérêts

G.C. declares receipt of an MRFF grant to develop AI for endometriosis imaging, honoraria from Samsung and GE healthcare, is a member of the ISUOG Board of trustees, and is the WFUMB President-Elect. E.S. declares grants from National Institute for Health Research, Rosetrees Trust and Barts and the London Charity for multicenter trials on endometriosis and hysterectomy, book royalties (for the book entitled ‘Minimally Invasive Surgery in Gynecological Practice’) from De Gruyter, consulting fees from Hologic; honoraria from Medtronic, Hologic, Karl Storz, Intuitive, Arthrex, and Olympus; and is a member of the Medicines for Women’s Health Expert Advisory Group of the Medicines and Healthcare Products Regulatory Agency (MHRA). The other authors do not have any conflicts of interest to declare.