Table 1 Principle of TART lesions score.

From: Infertility risk assessment with ultrasound in congenital adrenal hyperplasia male patients

US features

Score

Explanation

Range

1

Lesions are not detectable by scrotal ultrasound

2

Aggregated oval lesions (one, or separate multiples) in the mediastinum, involving no more than 1/3 of the testis on both transverse and sagittal sections

3

The lesion fills the mediastinum and does not involve more than 1/3 of the transverse and sagittal of the testis; or the lesion does not fill the mediastinum, but involves more than 1/3 of the transverse or sagittal of the testis

4

Under the circumstance of all the mediastinal involvement, the lesion on the transverse involves more than 1/3 of the testis with residence of normal testicular tissue

5

Diffusely growing lesions without normal testicular tissue

Echogenicity

1

Homogeneous hypoechogenicity

2

Heterogeneous hyperechoic

3

Heterogeneous hyperechoic with calcification

Vascularity

1

Abundant linear blood flow signals filling the entire lesion

2

Moderate linear blood flow signals occupying part of the lesion

3

None blood flow or very few around lesion