Pseudoaneurysms are a major source of morbidity after cardiac catheterization. 1 Femoral artery pseudoaneurysm (FAP), also known as a false aneurysm, is a pulsating encapsulated hematoma in communication with a ruptured vessel. 2 It is mostly formed after surgical procedures, penetrating trauma, or femoral fractures. 3 The incidence of FAP after diagnostic catheterization and routine percutaneous intervention ranges from 0.05% to 2%. 4,5 The incidence increases to 6% after more complex and emergent procedures, such as primary percutaneous intervention, for acute myocardial infarction, prolonged multivessel intervention, or procedures. 4,5 These procedures usually require larger sheath sizes (e.g., 8 French gauge). The early diagnosis of FAP is crucial to avoid further complications, such as a rupture, and for treatment planning. 6 Computed tomography (CT) can be used to detect a FAP and provides high-resolution imaging of the FAP structure. 7 However, CT may not be readily available, and the pre-and postcontrast CT imaging depends on exposure to ionizing radiation. Therefore, ultrasonography (US) remains a safe alternative method for the diagnostic imaging of patients with groin complications postcatheterization. 8 US involves the use of nonionizing radiation and no contrast agent, and it is noninvasive, inexpensive, portable, and readily available. 9 However, one of the main disadvantages of US for detecting a FAP is that it mainly provides details on the blood flow, as opposed to the structure. A FAP is diagnostically confirmed by looking at the characteristic bidirectional Doppler waveform in the neck as well as a swirling 819993J DMXXX10.

Background The novel Coronavirus Disease 2019 (COVID-19) pandemic has posed unprecedented new stressors and challenges to the applied health sciences’ education. This study explored the prevalence of burnout among Saudi radiological sciences students at King Saud bin Abdulaziz University for Health Sciences during the COVID-19 pandemic. Methods A cross-sectional study was conducted between November and December 2020 among 176-Saudi radiological sciences students, using the 16-item questionnaire of Maslach Burnout Inventory-General Survey for Students and through non-probability convenient sampling technique. The 16 items of the questionnaire were scored on a 7-point frequency rating scale ranging from 0 (never) to 6 (every day) and consisted of three distinct burnout dimensions/subscales: a) emotional exhaustion (5-items), cynicism (5-items), and professional efficacy (6-items). The means of individual items that make up each scale of burnout were calculated, and statistical analysis was performed using the Mann–Whitney U -test. Results/Observations/Findings From the 176-radiological sciences students approached, 96 (54.5%) completed the questionnaire. The percentage of students who were at moderate to high risk of burnout was 70.8% for emotional exhaustion, 75% for cynicism, and 74% for professional efficacy subscales. Emotional exhaustion was significantly higher among fourth-year students (P = 0.042), than third-year students. Cynicism was significantly higher among fourth-year female students (P = 0.035), than third-year female students. The professional efficacy was significantly lower among fourth-year female students (P = 0.007) than males. Conclusion Our study shows 73.3% moderate to high burnout rates among Saudi radiological sciences students during the COVID-19 pandemic. Burnout increases as students advance to the fourth year. A block/modular curriculum structure for fourth-year courses may be necessary to reduce burnout among fourth-year students. Academic counseling can ease students’ emotional stress and reduce burnout risk.

Objective: To assess the reliability and variability of femoral artery pseudoaneurysm (FAP) measurements between pre- and postprocessed sonograms acquired in a major medical center in Saudi Arabia as compared with results obtained from a major medical center in the United States. Methods: Retrospective image analysis was conducted on 23 FAP sonograms, which were evaluated by four observers. Observers measured FAP sac and neck from pre- and postprocessed images and remeasured again after 2 weeks, to avoid recall bias. Results: The use of image processing was more profound for the novice observers in measuring FAP neck width and length. The intraclass correlation coefficient (ICC) for FAP neck width improved after segmentation from 0.63 to 0.91; in contrast, the ICC improved from 0.91 to 0.97 for experts. The average ICCs for FAP neck length improved from 0.40 to 0.79 for novices and from 0.86 to 0.95 for experts. The largest variation of values, within observers, were for neck length obtained from the original images. The range varied from 0.16 to 0.37 cm and was reduced to 0.10 to 0.18 cm with segmented images. Conclusion: As demonstrated previously, sonographic image processing resulted in increased reliability and decreased variability for FAP measurements.

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Background Burnout syndrome may adversely affect health care workers and health sciences students. The purpose of this study was to assess the prevalence of burnout among Saudi third- and fourth-year radiological sciences students across three campuses of King Saud bin Abdulaziz University for Health Sciences. Methods An exploratory, cross-sectional study was conducted among 176 Saudi radiological sciences students, using the Maslach Burnout Inventory-General Survey for Students. The 16-item questionnaire was administered electronically. The arithmetic means of individual items making up each scale of burnout were calculated, and statistical analyses were performed using Mann-Whitney U nonparametric test. Results From the 176 radiological sciences students approached, 96 (54.5%) completed the questionnaire. The percentage of students who were at moderate to high risk of burnout for emotional exhaustion, cynicism, and professional efficacy were 70.8%, 75% and 74%, respectively. Fourth-year students emotional exhaustion mean scale score was 19.3 ± 6.8 indicating significant higher burnout levels (P = 0.042), compared to third-year students mean scale score of 15.9 ± 7.2. Fourth-year female students cynicism mean scale score was 16.3 ± 7.6 indicating significant higher burnout levels (P = 0.035), compared to third-year female students mean scale score of 10.3 ± 7.1. Fourth-year female students showed significant lower professional efficacy mean score (21.1 ± 8.0), compared to males (26.1 ± 7.9, P = 0.007). Conclusions Our study shows 73.3% moderate to high burnout rates among Saudi radiological sciences students. A greater proportion of fourth year female students reported high levels of emotional exhaustion. Burnout increases as students advance to the fourth year. A block/modular curriculum structure for fourth-year courses may be necessary to reduce burnout among fourth-year students. The provision of academic counseling can relieve students' emotional stress and therefore reduce the risk of burnout.