Mind the gap: underreporting of key compartments in endometriosis MRI with free-text and non-disease-specific templates

Endometriosis-specific MRI templates achieve higher documentation completeness compared to non-disease-specific templates and free-text reports. Disease-specific templates achieved 80% completeness versus 60% for general templates and 50% for free-text. Free-text reports underreport critical anatomical compartments, such as uterosacral ligaments, fallopian tubes and vagina/rectovaginal space. Endometriosis-specific templates showed up to 13-fold higher odds of documenting critical compartments versus free-text. Template specificity, not mere structure, drives comprehensive endometriosis reporting.