A review of the MRI features of endometriosis: what should be paid attention to during the reporting process?

Endometriosis is a chronic gynecological disorder characterized by the ectopic presence of endometrial tissue, often resulting in pelvic pain, infertility, and decreased quality of life. Magnetic Resonance Imaging (MRI) plays a crucial role in noninvasive diagnosis and preoperative assessment of endometriosis, particularly in evaluating complex or deep infiltrative diseases. A detailed and structured report on lesion depth, extension, and involvement of critical anatomical structures is vital for multidisciplinary teams' decision-making. By comprehensively understanding and recognizing the complete range of endometriosis manifestations, radiologists can significantly enhance individualized treatment strategies and improve patient outcomes. This pictorial review highlights the key MRI features of endometriosis and provides essential guidance for radiologists during the imaging and reporting process.