Assessing the Feasibility and Perceptions of Brain Perfusion Imaging with Computed Tomography رسالة ماجستير

Abstract

This study aimed to assess the feasibility and perceptions of brain perfusion imaging using CTP among healthcare professionals in governmental hospitals across the West Bank, Palestine. Conducted in 2025, the research adopted a quantitative, cross-sectional design targeting radiographers, radiologists, and neurologists. A structured and validated questionnaire was used to evaluate participants’ KAP regarding CTP, and to explore institutional and technical barriers limiting its clinical application. A total of 152 professionals participated. The majority were radiographers, 85.5%, followed by radiologists, 8.6%, and neurologists, 5.9%. While 75% reported familiarity with CTP, only 50.4% could identify key perfusion parameters accurately, and just 48% expressed confidence in interpreting CTP results. Awareness of contraindications was moderate, 66.4%, while 78.9% reported inadequate training opportunities. Additionally, 65.1% expressed concern about radiation exposure, and 40.8% cited limited access to advanced imaging equipment. Despite challenges, 88.1% of participants believed CTP effectively evaluates cerebral perfusion, and 87.5% trusted its diagnostic value; knowledge correlated significantly with attitudes (r = 0.501, p < 0.01) and practice (r = 0.199, p < 0.05). The study recommends targeted training, standardized protocols, and infrastructure investment to bridge the gap between perceived value and clinical use of CTP as a fast, accessible alternative to MRI in resource-limited settings like Palestine