It is usually agreed that the visual measurement of x-ray skin reaction is hampered by many psychological and physical difficulties that render quantitative description precarious if not impossible. Three main categories of difficulties can be described: 1. Variation in the chromatic acuity of the observers. 2. Variations in the ambient light in the examining suite, which influence the judgment of the observers. 3. Lack of quantitative means to evalu- ate the intensity of response. To keep these factors at a minimum, it seemed desirable to develop an objective method for studying the skin changes produced by ionizing radiation. In an effort to eliminate such variables as visual acuity and quality of the incident light, Sheard and his co-workers (1–3) developed a spectrophotometric method for analyzing skin color in normal and pathologic states. Edwards and Duntley (4) refined these technics and made an extensive study of the types and distribution of pigments in normal skin, showing that oxyhemoglobin, reduced hemoglobin, and melanin are the primary factors in determining skin color. Estimation of the amount of oxyhemoglobin and reduced hemoglobin may be made by reflectance measurements at 574 and 556 millimicrons, respectively. Since these two compounds contribute very little to the intensity of reflected light at the long wave lengths, the melanin content may be determined by measurement of the intensity of the reflectance spectrum between 660 and 680 millimicrons (Fig. 1). The absorption spectrum of normal skin is essentially the sum of these curves. In 1932 Harris and co-workers (5) employed the reflectance spectrophotometer for the study of x-ray-induced skin erythema. Their results were expressed in terms of relative luminosity, hue, and saturation. They measured only the irradiated areas, however, and did not compensate for normal variations of skin color due to changes in peripheral blood flow or variations in skin pigmentation. Their data, therefore, may be considered as a measurement of both the x-ray reaction and normal variations. Jansen (6) in his investigations of ultraviolet erythema and pigmentation was able to eliminate the normal variations due to alterations in peripheral blood flow, width of the vessels, and seasonal changes, by the rather simple method of expressing data in terms of the per cent of normal skin color. This was accomplished by taking readings of the adjacent normal skin on both sides of the irradiated area and obtaining a ratio of irradiated skin to nonirradiated skin × 100 for each important absorption band. A modification of Jansen's technic has been used for quantitative determination of the x-ray-induced skin reaction. Materials and Methods For this study the Photovolt Model 610 Reflectance Meter, a filter spectrophotometer, was used for a quantitative determination of the x-ray skin reaction.