An irradiation phantom was used to measure dose increases using the backscatter of different materials (titanium, steel, lead, aluminium). Telecobalt-60 and 8-MV photons were used for the irradiation. The irradiation dose was measured by means of a defined X-ray film blackening. The most important parameter was to find out whether under simulated conditions, undesirable hot spots occur. We were able to demonstrate that a 12.5 to 16% increase in the radiation dose can be observed for titanium and steel at a distance of 0.45 mm from the metal specimen. A comparison between titanium and steel did not demonstrate a relevant advantage for titanium. Therefore, adjuvant percutaneous radiation therapy should not have any influence on the life of the implant, if the soft tissue layer is of sufficient thickness. The available literature is reviewed and presented in tables.
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