Irradiation of a tissue-metal interface with 13 MeV to 20 MeV electrons results in an increased dose to the tissue on the entrance side of the metal. Ionization measurements were made with a thin-window parallel-plate chamber to determine the magnitude of the dose enhancement as a function of incident electron energy, thickness and atomic number of metals introduced into the electron beam. The presence of a metal resulted in a dose ranging from 6% to approximately 50% greater than that measured with no metal in the beam. Most of this increase in dose may be eliminated by the addition of 1-2 g/cm2 of low Z material between tissue and metal.

When there is an absence of scattering material adjacent to the skin on the exit side of a megavoltage beam the dose to the skin is less than would be calculated using depth dose tables or isodose distributions measured in "semi-infinite" phantoms. Ionization measurements using a thin-window parallel-plate chamber show that the dose at 4 mg/cm2 from the exit surface is 14% to 16% less for cobalt-60 gamma rays and about 8% less for 25-MV x rays compared to the dose with full backscatter. As the angle of incidence increases the skin dose increases due to radiation scattered toward the surface. A method for the calculation of skin doses from tangential therapy beams is described.

Buildup and surface-dose measurements were taken for the 6 MV photon beam from a Therac 6 linear accelerator manufactured by Atomic Energy of Canada Limited (AECL) with and without a lucite blocking tray in place. Further measurements were made with a copper filter designed to reduce secondary electrons emitted by photon interactions with the Lucite tray. The results are discussed in relation to skin-sparing for radiation therapy patients. The measurements were made with a fixed volume PTW parallel-plate ionization chamber and corrected to zero-chamber volume. The results were found to be consistent with similar measurements taken with a variable volume extrapolation chamber.