This ISUOG 2025 session, presented by Prof. Juan Luis Alcázar, discusses the use of endometriosis ultrasound in daily clinical practice, with a focus on applying the IDEA protocol as a standardized approach to assessment. The presentation outlines how structured ultrasound evaluation can support consistent identification and documentation of endometriosis across different pelvic compartments.
The session explains the principles of the IDEA protocol, emphasizing systematic examination of pelvic anatomy and the use of standardized terminology. Key steps of the protocol are reviewed, including assessment of the uterus, ovaries, and posterior compartment, as well as evaluation for signs of deep endometriosis. The importance of a step-by-step scanning approach is highlighted to reduce variability and improve reproducibility in routine practice.
Examples are used to illustrate how ultrasound findings can be described and recorded in a consistent manner when applying the IDEA protocol. The session also discusses practical considerations for integrating the protocol into daily workflows, including examiner experience and examination time.
In addition, the presentation touches on the role of advanced ultrasound techniques, such as visualization of vascular patterns, to support lesion characterization when appropriate. These techniques are presented as complementary tools within a structured assessment framework.
Overall, the session emphasizes how endometriosis ultrasound, guided by the IDEA protocol, can support standardized evaluation, clearer communication of findings, and more consistent clinical assessment in daily practice. For more insights, you can also watch this session on how to use the IDEA protocol during real-time ultrasound.
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