Radiation therapy accelerators require highly accurate dose deposition and the output must be monitored frequently and regularly. Ionization chambers are the primary tool for this control, but their size and fragility make them unsuitable for use during patient treatment. In collaboration with a French center for cancer treatment in Caen, we describe the development and testing of a low-cost radiotherapy dosimeter (SDM) based on scintillating fibers and signal processing to reduce the effect of Cerenkov radiation background. The employment of photodiodes for light collection reduces the cost relative to systems using photomultipliers (PMTs). However, we have also developed a highly sensitive system that uses PMTs for very low-dose deposition for Brachytherapy. Comparison with standard ionization chambers shows about a 1% difference over a range of 6- to 25-MV photons. This dosimeter is 1 mm in diameter and can be placed where ever required including inside the body. Its small size and flexibility make it useful for delimiting critical regions, where organs may be very radiation sensitive.