{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:37Z","timestamp":1786977937726,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Endometriosis affects 1 in 10 women globally. We aimed to determine health provider involvement and preferred methods of obtaining an endometriosis diagnosis across international jurisdictions. A global cross\u2010sectional survey, distributed through formal and informal FIGO Reproductive Medicine, Endocrinology, and Infertility (REI) committee networks from September through October 2024. A total of 445 respondents from 76 countries began the survey, with 360 completions. Of the respondents, 63.9% were female, with most being gynecologists. Academics and\/or researchers comprised 6.7%, with 39.2% involved in research in some capacity. Endometriosis was largely diagnosed by gynecologists (95.0%), with most respondents overall describing ultrasound as the most common method of diagnosis (77.8%). Of those surveyed, 93.6% stated clinicians in their country used non\u2010invasive imaging (predominantly ultrasound) to diagnose endometriosis before surgery. One third of respondents did not feel confident distinguishing between routine gynecological scans and specialist endometriosis imaging. Significant barriers for uptake of imaging diagnostics included access to training, cost, and geographical accessibility. Regarding adoption of non\u2010invasive imaging in clinical care, \u201cgame\u2010changing\u201d effects were described, including improvements in surgical preoperative mapping, and patient\u2010centered care, with concerns that it could increase clinical workloads. Significantly, shifts in endometriosis diagnosis, from visualization of lesions at laparoscopy to non\u2010invasive imaging diagnostics, were observed internationally. Policies should aim to overcome barriers to uptake of imaging\u2010based diagnostics by supporting training initiatives, reducing associated costs, and improving geographical accessibility. Respondents predicted transformative changes in endometriosis care once non\u2010invasive endometriosis diagnostics are effectively adopted.<\/jats:p>","DOI":"10.1002\/ijgo.70666","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T11:22:16Z","timestamp":1763119336000},"page":"11-24","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Global trends in the uptake of specialist diagnostic ultrasound and\n                    <scp>MRI<\/scp>\n                    scans for endometriosis: An international cross\u2010sectional survey"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8857-9162","authenticated-orcid":false,"given":"Jodie C.","family":"Avery","sequence":"first","affiliation":[{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7660-7835","authenticated-orcid":false,"given":"Anna","family":"Fragkoudi","sequence":"additional","affiliation":[{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7094-3950","authenticated-orcid":false,"given":"Alison","family":"Deslandes","sequence":"additional","affiliation":[{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"},{"name":"Specialist Imaging Partners  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9099-3047","authenticated-orcid":false,"given":"Scott M.","family":"Nelson","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Nursing University of Glasgow  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Henry","sequence":"additional","affiliation":[{"name":"ART Center of the Department of Obstetrics and Gynecology, CHU of Li\u00e8ge\u2010Citadelle Site University of Li\u00e8ge  Li\u00e8ge Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajey","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Avni Health Foundation  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1362-6224","authenticated-orcid":false,"given":"Elif G.","family":"Topcu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sisli Kolan International Hospital  Istanbul Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5253-2565","authenticated-orcid":false,"given":"Togas","family":"Tulandi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McGill University  Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8348-3789","authenticated-orcid":false,"given":"Jaideep","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Rainbow IVF  Agra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4072-8437","authenticated-orcid":false,"given":"Dov","family":"Feldberg","sequence":"additional","affiliation":[{"name":"Sackler Medical School Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4677-4370","authenticated-orcid":false,"given":"Eytan","family":"Barnea","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology &amp; Reproductive Sciences University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4718-6979","authenticated-orcid":false,"given":"Nikhil","family":"Purandare","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Galway University Hospital  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3094-4892","authenticated-orcid":false,"given":"Edgar","family":"Mocanu","sequence":"additional","affiliation":[{"name":"Rotunda Hospital and RCSI  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5538-6906","authenticated-orcid":false,"given":"Mathew","family":"Leonardi","sequence":"additional","affiliation":[{"name":"Specialized Ultrasound for Gynecology and Ultrasound (SUGO)  Hamilton Ontario Canada"},{"name":"McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1813-3971","authenticated-orcid":false,"given":"M. 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