Dosimetry for tangential chest wall irradiation

The skin-sparing effect of megavoltage photons is lost to a varying extent when tangential beams are used to irradiate the chest wall. The skin dose for this technique, with and without a bolus, was investigated for 4- and 6-MV photons using film, thermoluminescent dosimeters, and an ionization chamber. Metal/tissue interface effects were observed when a flexible brass fabric material was used as a bolus.