Charged particle therapy (CPT) is an advanced modality of
radiation therapy which has grown rapidly worldwide, driven by
recent developments in technology and methods of delivery. To ensure
safe and high quality treatments, various instruments are used for a
range of different measurements such as for quality assurance,
monitoring and dosimetry purposes. With the emergence of new and
enhanced delivery techniques, systems with improved capabilities are
needed to exceed existing performance limitations of conventional
tools. The Medipix3 is a hybrid pixel detector able to count
individual protons with millisecond time resolution at clinical flux
with near instant readout and count rate linearity. The system has
previously demonstrated use in medical and other applications,
showing wide versatility and potential for particle therapy. In this
work we present measurements of the Medipix3 detector in the 60 MeV
ocular proton therapy beamline at the Clatterbridge Cancer Centre,
U.K. The beam current and lateral beam profiles were evaluated at
multiple positions in the treatment line and compared with EBT3
Gafchromic film. The recorded count rate linearity and temporal
analysis of the beam structure was measured with Medipix3 across the
full range of available beam intensities, up to
3.12 × 1010 protons/s. We explore the capacity of Medipix3
to provide non-reference measurements and its applicability as a
tool for dosimetry and beam monitoring for CPT. This is the first
known time the performance of the Medipix3 detector technology has
been tested within a clinical, high proton flux environment.