Ultra-fast prompt gamma detection in single proton counting regime for range monitoring in particle therapy.

In order to fully exploit the ballistic potential of particle therapy, we propose an online range monitoring concept based on high-resolution Time-Of-Flight (TOF)-resolved Prompt Gamma (PG) detection in a single proton counting regime. In a proof of principle experiment, different types of monolithic scintillating gamma detectors are read in time coincidence with a diamond-based beam hodoscope, in order to build TOF spectra of PG generated in a heterogeneous target presenting an air cavity of variable thickness. Since the measurement was carried out at low beam currents ($<$ 1 proton/bunch) it was possible to reach excellent coincidence time resolutions, of the order of 100 ps ($\sigma$). Our goal is to detect possible deviations of the proton range with respect to treatment planning within a few intense irradiation spots at the beginning of the session and then carry on the treatment at standard beam currents. The measurements were limited to 10 mm proton range shift. A Monte Carlo simulation study reproducing the experiment has shown that a 3 mm shift can be detected at 2$\sigma$ by a single detector of $\sim 1.4 \times 10^{-3}$ absolute detection efficiency within a single irradiation spot ($\sim$10$^{8}$ protons) and an optimised experimental set-up.