In addition all stakeholders need to speak the same language so everyone knows what is being referred to e.g pattie vs a cottonoid and the interpretation on intraoperative films should be direct callback to the OR with readback verbal confirmation between a radiologist and the surgeon. Radiologists are the content experts in reading xrays and they should be available to review intraoperative films if the OR is available for operations.
Radiologists should familiarize themselves with the radiographic appearance of surgical items so they will be able to recognize these foreign bodies. Retained sponges and needles have been missed on intraoperative films. Websites, articles in the radiographic literature, an experienced colleagues "eyes" and even a poster can be very helpful for reference to sort out any questionable findings on xrays.
Missing Surgical Item (MSI) Intraoperative Guidelines