Pelvic ultrasound is central to the pre-operative assessment of endometriosis, extending beyond the detection of ovarian endometriomas, which often act as markers of more extensive pelvic disease. This presentation explores the relationship between sonographic findings and laparoscopic outcomes, highlighting how systematic, anatomy-based ultrasound assessment can predict disease distribution, anatomical distortion, and operative complexity. Through case-based examples, key sonographic features; including reduced organ mobility, pouch of Douglas obliteration, uterosacral ligament involvement, deep infiltrating endometriosis, horseshoe-shaped posterior compartment disease, and peritoneal pocket lesions, are directly correlated with intraoperative findings. Integrated surgical videography will include examples of normal pelvic anatomy and a spectrum of endometriosis severity, reinforcing real-time imaging–surgical correlation. The session emphasises the clinical impact of detailed ultrasound assessment and reporting, demonstrating how the quality and depth of imaging directly influence surgical decision-making, operative planning, patient counselling, and ultimately treatment outcomes. This session highlights the evolving role of both the sonographer and sonologist in endometriosis care. It underscores the importance of meticulous scanning, thoughtful image review, and clear communication of findings to produce surgically relevant reports that accurately convey disease extent. High-quality ultrasound, when performed and interpreted with this level of care, directly informs surgical pathways and ultimately improves patient outcomes.

The recently published IDEA consensus addendum on superficial endometriosis diagnosis offers new learning opportunities for sonographers. In this 20-minute talk, we’ll clarify exactly what sonographers are expected to identify, what remains uncertain, and how to communicate findings responsibly in this new area of gynaecological imaging. This session will provide clarity, confidence, and language for sonographers navigating the diagnostic expectations around this subtle but important form of disease. You’ll leave with practical frameworks for your scan, your report, and patient communication.
Objectives:
• Provide an overview of the new IDEA addendum on superficial disease
• Discuss ultrasound features of superficial endometriosis
• Discuss limitations of TVUS in detecting superficial disease and why that matters
• Describe how to document and describe possible findings

The recently published IDEA consensus addendum on superficial endometriosis diagnosis offers new learning opportunities for sonographers. In this 20-minute talk, we’ll clarify exactly what sonographers are expected to identify, what remains uncertain, and how to communicate findings responsibly in this new area of gynaecological imaging. This session will provide clarity, confidence, and language for sonographers navigating the diagnostic expectations around this subtle but important form of disease. You’ll leave with practical frameworks for your scan, your report, and patient communication.
Objectives:
• Provide an overview of the new IDEA addendum on superficial disease
• Discuss ultrasound features of superficial endometriosis
• Discuss limitations of TVUS in detecting superficial disease and why that matters
• Describe how to document and describe possible findings