X ray tubes for contact and cavity radiotherapy although not built any
more, are still operating in several centres essentially for the trea
tment of small superficial skin tumours. With field sizes ranging from
0.5 cm to 2 cm in diameter and voltages from 15 to 60 kV. these machi
nes are characterised by an extremely low inherent filter, a short foc
us-skin distance and a very high dose rate. Nowadays, the main reason
for their use lies in the ease of beam positioning on very small targe
ts that would be difficult to irradiate with current radiotherapy mach
ines. On the other hand, given the low energies involved and the small
dimensions of the beams, the output calibration and the depth-dose me
asurements are somewhat difficult to carry out. The usual ion chambers
do not allow performance of correct dose measurements for radiation f
ields smaller than 1.5 cm in diameter. It is shown that it is possible
to overcome the above inconveniences by means of thermoluminescence d
osemeters (TLD). The TLDs used were LiFTLD-100, routinely employed in
patient in vivo dosimetry. Their size (3 x 3 x 0.5 mm3) suited the pur
pose of this experiment, allowing for complete machine dosimetric char
acterisation whereas ionometric methods are difficult.