Updated structured report for dynamic ultrasonography in patients with suspected or known endometriosis: Recommendations of the international society for gynecologic endoscopy (ISGE)

D. Djokovic, Djokovic D, Dusan Djokovic, Leandro Accardo de Mattos, Mattos La, Leandro Accardo Mattos, Keckstein J, J. Keckstein, Jörg Keckstein, Agnieszka Kotlarz, Kotlarz A, P. Pinto, Pinto P, Patrícia Pinto, Reis I, Inês Reis, Anneli Linnamägi, Linnamagi A, Anneli Linnamagi, Na Su, Su N, Xiaoming Gong, Gong X, Antonio Simone Laganà, Laganà AS, Sanket Pisat, Pisat S, Nzau-Ngoma E, Emmanuel Nzau-Ngoma, Thomas V, Viju Thomas, Bruno J. Herendael, van Herendael BJ, Bruno J. van Herendael, Szabó G, Gábor Szabó
European journal of obstetrics, gynecology, and reproductive biology · 2026 · vol. 325 , pp. 115267 · doi:10.1016/j.ejogrb.2026.115267 · PMID:42401110 · W7166826568
review OA: closed CC0
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-08 ⓘ

The ISGE updated its structured reporting recommendations for dynamic ultrasound in endometriosis, expanding the template to improve completeness and surgical actionability with new descriptors and quantitative metrics.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVES: To update the 2021 International Society for Gynecologic Endoscopy (ISGE) recommendations for structured reporting of dynamic ultrasound findings in patients with suspected or known endometriosis, integrating recent technical and methodological advances and contemporary diagnostic evidence. Study design A multidisciplinary ISGE working group (sonologists, surgeons, radiologists, methodologists) performed a focused, non-systematic literature review (January 2015-September 2025), prioritizing prospective multicentre diagnostic accuracy studies, high-quality cohorts, systematic reviews and intersociety consensus statements. Draft items were derived from validated frameworks (International Deep Endometriosis Analysis, Morphological Uterus Sonographic Assessment, International Endometrial Tumor Analysis, International Ovarian Tumor Analysis) and the #Enzian classification, refined by a writing subgroup and scored iteratively using Delphi rounds. Evidence quality and recommendation strength were graded using the Grading of Recommendations Assessment, Development and Evaluation system. RESULTS: When performed by experienced operators, dynamic ultrasound shows high specificity and generally high sensitivity for ovarian endometriomas, many forms of deep endometriosis, and adenomyosis; sensitivity is more variable, particularly for parametrial involvement and small superficial peritoneal lesions. Structured, compartment-based reporting improved completeness and may increase concordance with intraoperative mapping compared with unstructured reports. The 2026 ISGE update expands the 2021 template with standardized superficial peritoneal descriptors, lateral compartment subdivision (parametrium, pelvic sidewall, pelvic nerve assessment) and detailed quantitative pelvic metrics. Optional advanced fields capture items supported by lower-quality or emerging evidence. Implementation recommendations include targeted training, Picture Archiving and Communication System integration, and staged adoption. CONCLUSIONS: The 2026 ISGE structured ultrasound report provides a practical, surgically actionable template. Prospective multicentre validation and standardized training are priorities.

My notes (saved in your browser only)

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Female Female Female Female Female Female Female Humans Humans Humans Humans Humans

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (61)

Source provenance

europepmc
last seen: 2026-08-20T06:14:21.026120+00:00
openalex
last seen: 2026-08-20T06:06:58.202835+00:00
pubmed
last seen: 2026-08-20T06:08:45.135528+00:00
unpaywall
last seen: 2026-08-20T06:30:07.000247+00:00
License: CC0 · commercial use OK