CBCT Volume Review Survey
Please provide your structured feedback on the reviewed CBCT volume. Your input helps improve imaging quality and diagnostic outcomes.
Reviewer Full Name
*
First Name
Last Name
Reviewer Email Address
*
example@example.com
Case ID or Reference Number
*
Review Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Image Quality Assessment
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Diagnostic Value of the CBCT Volume
*
High diagnostic value
Moderate diagnostic value
Low diagnostic value
Non-diagnostic
Presence of Artifacts
*
No artifacts
Motion artifact
Metal artifact
Beam hardening
Other
Anatomical Coverage
*
Adequate for intended purpose
Partially adequate
Inadequate
Findings Noted (select all that apply)
Normal anatomy
Pathology detected
Incidental finding
No significant findings
Other
Overall Satisfaction with the CBCT Volume
*
1
2
3
4
5
Comments or Suggestions for Improvement
Would you recommend this imaging protocol for similar cases?
*
Yes
No
Not sure
Submit Review
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