Say that you have a pivot table with regions across the top and daily dates down the side.
To calculate MTD sales for this region, use:
=Calculate(Sum(Fact[Sales]),
DatesMTD(Fact[Date]),
AllExcept(Fact,Fact[Region]))
Breaking this down:
The expression asks for sum of sales.
Filter 1 says for all dates up included in MTD of this row
Filter 2 says to respect the current column's filter for region.
If instead you wanted MTD sales across all regions:
=Calculate(Sum(Fact[Sales]),
DatesMTD(Fact[Date]),
All(Fact))
If you wanted to see this region's MTD sales as a percentage of total MTD sales:
=Calculate(Sum(Fact[Sales]),
DatesMTD(Fact[Date]),
AllExcept(Fact,Fact[Region]))/