Micro-pattern gaseous detectors (MPGDs), when integrated with optical imaging sensors, have been proven to effectively and accurately capture radiation beam information. To address the challenges of monitoring the dose and profile of medical pencil proton beams (MPPB), which have a high density of greater than 109 Hz/cm2, an optical readout micro-mesh gaseous structure (ORM) was proposed. A Micromegas prototype was manufactured with a glass substrate coated with transparent indium tin oxide as the detector anode. Its effective area is 8 cm × 8 cm. The ORM was firstly characterized with an Iron-55 X-ray source (55Fe) and a silver target X-ray tube individually, good energy resolution of 14.5% (FWHM), high gain greater than 104, and spatial resolution of 400 μm (10% MTF) were achieved. The prototype was then tested with the MPPB. The evaluation revealed linear dose responses exceeding 99% (R-squared value) for both single-point and nine-point beam spots at various beam energies and doses. The size and center position deviation of the nine-point spot measurement were within 0.35 mm and 1 mm, respectively, indicating the good potential of this method for MPPB spot quality assurance. Additionally, the ORM is expected to be expanded to monitor other types of high-flux beams, such as medical neutron and gamma beam inspections, by adding suitable conversion layers.
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