ANY ionization chamber larger than 2 or 3 cubic centimeters in volume is too large for use in a phantom or for the determination of radiation intensity upon the patient's skin. For the purposes of this paper, any chamber of volume greater than 3 cubic centimeters is considered a “large” chamber. However, the actual volumes of ionized air in the “large” chambers with which we have had experience have been from 20 to 300 cubic centimeters. Large ionization chambers may be (1) of metal construction, suitable for permanent mounting in the filter position; (2) of the all-air type, suitable for direct determination of the r (so-called “primary standard”), or (3) of organic material, or a special material and construction such as will insure the ionization current being constantly related to the “primary standard” readings. As advantages of the “large” chamber may be listed the following: 1. The ionization current can be large enough to allow of use of a relatively rugged “micro-ammeter” for measuring the current. 2. Even when not designed for use with a micro-ammeter, current may be measured with a galvanometer instead of an electroscope. The special advantage of this is the ease with which one can avoid leakages and field distortions, because the galvanometer plate and lead are within a fraction of a volt of the guard ring potential. 3. With suitable construction and precautions, a “large” chamber may be built so that it will measure the x-ray beam directly in r per minute (a so-called “primary standard”). Lack of portability is one of the disadvantages of the “large” chamber and this is not merely because of the large size of the chamber itself but because the charged plate or plates must be supplied with fairly large currents at high voltages, necessitating either large and heavy dry cells or “B-battery eliminator.” The principal disadvantage of the large chamber is the impossibility of using it on the patient's skin or incorporating it in a phantom. Therefore, it can be used only for determination of intensity in the free beam (without scatter-back). In spite of the disadvantages just enumerated, the large ionization chamber may be used success fully and with a higher degree of accuracy than can be obtained with the small ionization chamber alone, provided all readings are taken in the beam without scatter-back and are then carefully modified by proven factors based upon the quality of radiation, skin-target distance, and size of field. Such factors have been supplied to us by the work of Dessauer, Holthusen, Erskine, Failla and Quimby, and others. It is an unfortunate fact that no two of these are in perfect agreement. This lack of agreement is probably incurable because of certain defects inherent in the small ionization chambers which have been used with phantoms and on the patient's skin. We recently became interested in obtaining similar correction factors suitable for use in connection with radiation to the neck.