MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff and Nisse V. ClarkDiagnosing endometriosis before laparoscopy: radiologic tools to evaluate the diseaseTavcar, Jovanaa; Loring, Megana; Movilla, Peter R.a; Clark, Nisse V.b Author Information aDepartment of Obstetrics and Gynecology, Minimally Invasive Gynecologic Surgery, Newton-Wellesley Hospital, Newton bDepartment of Obstetrics and Gynecology, Minimally Invasive Gynecologic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA Correspondence to Jovana Tavcar, MD, Department of Obstetrics and Gynecology, Minimally Invasive Gynecologic Surgery, Newton-Wellesley Hospital, 2014 Washington St., Newton, MA 02462, USA. Tel: +1 617 243 5205; e-mail: [email protected] Current Opinion in Obstetrics and Gynecology: August 2020 - Volume 32 - Issue 4 - p 292-297 doi: 10.1097/GCO.0000000000000638 Buy Metrics Abstract Purpose of review The current gold standard for diagnosing endometriosis is laparoscopy with tissue biopsy. This review presents new evidence regarding advanced imaging for more optimal clinical assessment and preoperative evaluation for endometriosis. Recent findings A systematic approach to the imaging evaluation of endometriosis using transvaginal ultrasound and magnetic resonance imaging has been proposed by expert groups and societies. Evidence suggests that new imaging techniques improve the accuracy of clinical diagnosis and facilitate improved preoperative mapping of endometriotic lesions. Summary The clinical diagnosis of endometriosis, including new structured imaging protocols and techniques, is paramount in an initial evaluation. If surgery is indicated, clinical examination and imaging should provide sufficient information to anticipate the extent of surgery, properly counsel the patient, and when appropriate, refer to a minimally invasive gynecologic surgery specialist or assemble a multidisciplinary team. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.