A
radiotherapy treatment apparatus for imaging and treating a patient, comprising: a radiotherapy
system comprising a treatment
radiation source configured to perform
radiotherapy treatment of a patient by directing treatment
radiation towards the patient, wherein the patient is located substantially within a treatment region defining a longitudinal axis, wherein the treatment
radiation source is moveable with respect to the longitudinal axis to thereby enable a selection of a treatment direction in preparation for
radiotherapy treatment of the patient; an imaging
system comprising an imaging radiation source and a radiation
detector, wherein the imaging radiation source is moveable with respect to the longitudinal axis and is arranged to
direct imaging radiation towards the patient in an imaging direction, and wherein the radiation
detector is arranged to measure the imaging radiation after interaction of the imaging radiation with the patient, wherein the radiation
detector comprises one or more
photon counting detector arrays defining a sensitive area of the radiation detector, and wherein the imaging
system is configured to generate multi-spectral images of the patient based on measurements of the imaging radiation by the one or more
photon counting detector arrays.