“…Ideally, if both imaging and treatment beams are used in the same session, they should be mixed or delivered in a rapid sequence. To address this limitation, a new approach has been proposed, which involves a dual ion source generating deuterium ions (d+) and helium ions (He2+) or multi-nucleon ions [155] , [156] . Also 4D-tracking detectors are very promising to simultaneously measure the particle position and time with a high spatial resolution [157] .…”