From the Dose Calc. Options menu
Carrier attenuation correction should be included in dose calculations when the density or atomic composition of the seed carrier differs significantly from water. The COMS plaques use a Silastic silicone carrier. The Silastic material is about 40% Si by weight and has an effective Z of about 10.7 compared to 7.4 for water.
Important: Scatter and flourescence corrections are already included in the carrier factor for COMS plaques that use a silicone carrier because flourescence from the gold will be entirely absorbed in the silicone seed carrier and never reach the eye. NOTE: for a typical COMS plaque that uses a Silastic silicone carrier, the carrier factor T(r,d,μ) should be enabled, and the scatter & flourescence factor B(r) should be disabled. For plaques that do not use a seed carrier (e.g. Eye Physics plaques) and for a COMS plaque that uses a gold insert instead of silicone, carrier corrections should be disabled, and the scatter & flourescence factor B(r) factor should be enabled instead.
or from the carrier control in the Rx Window toolbar: