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Highlights Self-powered direct X-ray detectors, based on FAPbBr3 255-nm-thick films deposited onto mesoporous TiO2 scaffolds, can withstand a 26-day uninterrupted X-ray exposure with negligible signal loss, demonstrating ultra-high operational stability. Bulk specific sensitivity is evaluated to be 7.28 C Gy−1 cm−3 at 0 V, an unprecedented value in the field of thin-film-based photoconductors and photodiodes for “hard” X-rays. Sensitivity of submicrometer-thick perovskite films to the X-rays produced by a medical linear accelerator used for cancer treatment is here demonstrated for the first time.

Accurate dosimetry of ultra-high dose-rate beams using diamond detectors remains challenging, primarily due to the elevated photocurrent peaks exceeding the input dynamics of precision electrometers. This work aimed at demonstrating the effectiveness of compact gated-integration electronics in conditioning the current peaks (>20 mA) generated by a highly sensitive (S ≃ 26 nC/Gy) custom-made diamond photoconductor under electron FLASH irradiation, as well as in real-time monitoring of beam dose and dose-rate. For the emerging FLASH technology, this study provided a new perspective on using commercially available diamond dosimeters with high sensitivity, currently employed in conventional radiotherapy.