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Proposed TART-RADS Classification for Testicular Ultrasound: Our Experience and Literature Review

Year: 1401
COI: JR_INJPM-10-5_018
Language: EnglishView: 40
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Seied Ali Alamdaran - Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Zhila Afshar - Namazi hospital, shiraz university of medical science
Alieh Randian - mashhaduniversity of medicalsciences
Sepideh Bagheri - Mashhad University of medical sciences
Reza Ibrahimi - mashhaduniversity of medicalsciences
Samaneh Norouziasl - Mashhad University of Medical Sciences, Mashhad, Iran


Background: Testicular adrenal rest tumors (TARTs) are an important complication in patients with Congenital Adrenal Hyperplasia (CAH). Ultrasonography is the diagnostic modality of choice. In this study we examined the possibility of sonographic classification of TARTs in the Reporting and Data Systems (RADS) imaging format. Methods: ۳۵ male patients with the diagnosis of congenital adrenal hyperplasia due to ۲۱ hydroxylase deficiency were evaluated. Results: ۱۹ patients had one or more sonographic findings of TARTs. No significant relation was found between ۱۷ Hydroxyprogesterone (۱۷ OH p), ACTH and androstenedione levels in patients with and without TARTs. Five sonographic patterns for testicular lesions were found. The five-stage classification of sonographic findings of TARTs is matched with histological classifications. Conclusion: This classification system will allow clinicians to perform more accurate approaches. In general, TARTS should be considered in male patients with CAH. Sonography is a good imaging modality for the diagnosis of TARTs. TART-RADS imaging of lesions will allow clinicians to develop more accurate and appropriate approaches


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Alamdaran, Seied Ali and Afshar, Zhila and Randian, Alieh and Bagheri, Sepideh and Ibrahimi, Reza and Norouziasl, Samaneh,1401,Proposed TART-RADS Classification for Testicular Ultrasound: Our Experience and Literature Review,

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