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Standards activities, underway for several years, are seeking to define a required level of radiopacity and develop a standardized test method specifying exposure limits, film type, aluminum x-ray impregnation mask thickness, and radiograph viewing conditions. At present, manufacturers typically have proprietary guidelines for radiopacity of their products.
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Larger sponges used in general surgery typically have a large radiopaque strip or ring attached and are more easily detected. Detection of small radiopaque surgical sponges lost in patients may require several radiographic views of the area thought to contain the sponge.