# Low-dose real-time X-ray imaging with nontoxic double perovskite scintillators

## Abstract

X-rays are widely used in probing inside information nondestructively, enabling broad applications in the medical radiography and electronic industries. X-ray imaging based on emerging lead halide perovskite scintillators has received extensive attention recently. However, the strong self-absorption, relatively low light yield and lead toxicity of these perovskites restrict their practical applications. Here, we report a series of nontoxic double-perovskite scintillators of Cs2Ag0.6Na0.4In1-yBiyCl6. By controlling the content of the heavy atom Bi3+, the X-ray absorption coefficient, radiative emission efficiency, light yield and light decay were manipulated to maximise the scintillator performance. A light yield of up to 39,000 ± 7000 photons/MeV for Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 was obtained, which is much higher than that for the previously reported lead halide perovskite colloidal CsPbBr3 (21,000 photons/MeV). The large Stokes shift between the radioluminescence (RL) and absorption spectra benefiting from self-trapped excitons (STEs) led to a negligible self-absorption effect. Given the high light output and fast light decay of this scintillator, static X-ray imaging was attained under an extremely low dose of 1 μGyair, and dynamic X-ray imaging of finger bending without a ghosting effect was demonstrated under a low-dose rate of 47.2 μGyair s−1. After thermal treatment at 85 °C for 50 h followed by X-ray irradiation for 50 h in ambient air, the scintillator performance in terms of the RL intensity and X-ray image quality remained almost unchanged. Our results shed light on exploring highly competitive scintillators beyond the scope of lead halide perovskites, not only for avoiding toxicity but also for better performance.

## Introduction

X-ray imaging has been actively utilised in the fields of industrial material inspection, medical diagnosis and scientific research1,2,3,4,5,6,7,8,9,10. Low-dose irradiation, high stability and high spatial resolution are generally regarded as the most important characteristics for X-ray imaging11,12. Current X-ray imaging systems mostly rely on scintillators that are capable of converting X-ray photons into visible photons that are then detected by a photodiode array13,14,15. Conventional scintillators, such as thallium-doped caesium iodide (CsI:Tl)16,17 and cerium-doped lutetium−aluminium garnet (LuAG:Ce)18, usually require expensive and time-consuming synthesis, which poses a major challenge for device processability. Unlike conventional scintillator materials, the emerging lead halide perovskites for X-ray detectors are starting to show attractive merits of facile fabrication, fast response and good spatial resolution19,20,21,22,23,24,25,26. However, the relatively low X-ray light yield, lead toxicity27,28,29 and instability greatly limit their applications in high-end X-ray imaging featuring low-dose exposure, hazard-free manufacturing, real-time monitoring and robustness.

Fortunately, previous efforts have discovered many efficient lead-free emitters, e.g., double-perovskite30,31,32, copper33,34,35 and bismuth (Bi)36,37,38-based metal halides, which hold potential for X-ray scintillators. Very recently, Rb2CuBr333 and Cs2NaTbCl639 were shown to be scintillators with high light yield. However, the long decay time and strong afterglow impede their use in realising high contrast X-ray imaging, especially for X-ray computed tomography (CT). Another limitation of Rb2CuBr3 is that its emission wavelength is in the blue region, which does not match the peak response of the common camera. Hence, the development of nontoxic halide scintillators with merits of high light yield, fast light decay and well-matched emission wavelength remains a challenge. In this article, a series of nontoxic double perovskites of Cs2Ag0.6Na0.4In1-yBiyCl6 single crystals with variable Bi3+ content were prepared. The introduction of a moderate amount of Bi3+ not only improves the radioluminescence (RL) output but also accelerates the radiative recombination, leading to a high scintillator light yield of 39,000 ± 7000 photons/MeV and fast light decay for Cs2Ag0.6Na0.4In0.85Bi0.15Cl6. The nontoxic scintillator delivers long-term stability under continuous thermal treatment and X-ray irradiation in ambient air. With a Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafer as the scintillator, high-quality static and dynamic images of different objects were obtained under low-dose X-ray irradiation.

## Results

Commonly, the double-perovskite structure Cs2BIBIIICl6 is regarded as a homologue of the ABX3-type perovskite, in which the B sites are replaced by equal amounts of monovalent and trivalent cations40. Herein, BI is occupied by Ag+ and Na+ with different alloying ratios. By means of Na+ doping in Cs2AgInCl6, the parity-forbidden transition is partly broken, and the electronic dimensionality is reduced as well31. Therefore, bright near-white light emission via radiative recombination of self-trapped excitons (STEs) of Cs2Ag1-xNaxInCl6 (x = 0.2, 0.4, 0.6, 0.8) single crystals is obtained. The optimised Na+ content x is determined to be 0.4, for which the photoluminescence quantum yield (PLQY) reaches 43% (Supplementary Fig. S1).

Bi is an earth-abundant and green element, and it has an even larger atomic number than the widely used heavy X-ray absorbing elements of Pb and TI; hence, we introduced partial Bi3+ to replace In3+, initially for the purpose of increasing the X-ray absorption efficiency41,42. The powder X-ray diffraction (PXRD) patterns of a series of Cs2Ag0.6Na0.4In1-yBiyCl6 (Fig. 1c) samples confirm that the pure double-perovskite phase is the same as Cs2AgInCl6, which belongs to space group Fm-3m with a face-centred cubic structure. It is worth mentioning that the PXRD peaks shift to a lower diffraction angle with increasing Bi3+ content due to the larger ionic radius of Bi3+ (103 pm) than that of In3+ (80 pm), which can be clearly observed in the zoomed-in figure (right side of Fig. 1c). In addition, the scanning electron microscopy–energy-dispersive spectrometry (SEM–EDS) results (Supplementary Table S2) of six averaged random spots on the testing sample demonstrate that the final chemical compositions of Cs2Ag0.6Na0.4In1-yBiyCl6 agree with the designed ratios. All the above analyses suggest that alloyed compounds of Cs2Ag0.6Na0.4In1-yBiyCl6 are successfully synthesised, whose chemical components change regularly, depending on the Bi/In ratio.

Interestingly, in addition to the expected enhancement of the X-ray absorption, the luminescence properties of the alloyed double perovskites can also be tuned by Bi3+ alloying. The photoluminescence excitation (PLE) peak near 362 nm becomes more distinct and broader as the Bi3+ content increases (Fig. 1d), which is consistent with the steady-state absorption spectra (Supplementary Fig. S2). To evaluate the absorption band tail width of Cs2Ag0.6Na0.4In1-yBiyCl6, we calculated the Urbach energy (EU) from the plotted straight fitting lines, and the corresponding values are given (Supplementary Fig. S2). Compared with Cs2Ag0.6Na0.4InCl6, the EU of the Bi3+-doped perovskites significantly decreases, demonstrating that the band tail can be effectively suppressed because of further breaking of the parity-forbidden transition by the incorporated Bi3+43,44,45. When introducing more Bi3+, the absorption peak at 362 nm widens gradually and becomes less clear, and its intensity increases and is finally saturated in agreement with the PLE spectra, suggesting multiple absorption states that are widely distributed. The incorporated Bi3+ contributes to the valence-band structure by introducing shallow states right above the valence-band maximum of Cs2Ag0.6Na0.4In1-yBiyCl631 and forming a hyperfine energy level30, leading to broad absorption and excitation. Meanwhile, the absorption edges redshift as the Bi/In ratio increases, and the bandgap (Eg) values were calculated from Tauc plots (Supplementary Fig. S3), demonstrating that the bandgap is monotonically decreasing46. Figure 1e shows the PL spectra of Cs2Ag0.6Na0.4In1-yBiyCl6 as a function of Bi3+ content. The PL intensity rapidly intensifies when the Bi3+ concentration increases from 0 to 2% and then weakens with further doping of Bi3+, obtaining the highest PLQY of 90% (Fig. 1f). Meanwhile, the PL peak redshifts from 605 nm to 652 nm due to the gradually narrowed bandgap caused by the Bi3+ substitution of In3+, in agreement with the absorption spectra. Apparently, the PL and absorption spectra overlap for this double-perovskite system is negligible. The large Stokes shift avoids the self-absorption effect that is detrimental to the output of scintillation light14. Both the outstanding PL efficiency and negligible self-absorption of Cs2Ag0.6Na0.4In1-yBiyCl6 imply that these materials have the potential to be good scintillators.

The light decay time is another figure of merit for scintillators. The TRPL of Cs2Ag0.6Na0.4In1-yBiyCl6 was obtained by the TCSPC method pumped with a femtosecond laser (400 nm, <300 fs, 1 MHz). As shown in Supplementary Fig. S4, the decay curve of Cs2Ag0.6Na0.4InCl6 can be fitted by a biexponential function, giving a fast decay process (~1 ns) and a slower decay process (2.8 μs), which is assigned to the forbidden STE emission30. To investigate the origin of the fast decay process, the TRPL of the STE-emission band (we used a filter to selectively collect the light signal from 700 nm to 800 nm) was monitored, and it still showed distinct fast decay (Supplementary Fig. S5), excluding the possibility of band-to-band radiative recombination. This fast component gradually vanishes with the incorporation of Bi3+. Hence, the fast decay process (~1 ns) may be assigned to the defect trapping process30,45 since Bi3+ can passivate defects31. In addition, when collecting the TRPL with different time resolutions (4 ps/16 ps/512 ps), the fast decay process becomes unobvious when the time resolution is 512 ps (Supplementary Fig. S5), indicating that this ultrafast process cannot be detected with low time resolution. With increasing Bi3+ content, the lifetime of the slow component gradually shortens to the nanosecond level, which is superior to that of the current commercial CsI:Tl16, demonstrating the great potential for dynamic real-time X-ray imaging. We reason that the breaking of the parity-forbidden transition induced by Bi3+ doping results in improved radiative recombination kinetics; therefore, the lifetime becomes shorter.

To assess the scintillation property, a series of Cs2Ag0.6Na0.4In1-yBiyCl6 were tested under X-ray illumination. Figure 2a shows a plausible mechanism of X-ray scintillation in the lead-free halide double perovskites. The radiation energy is first absorbed by the heavy atoms of the double perovskites mainly through the photoelectric effect and inelastic Compton scattering, ejecting massive hot electrons; then, these electrons thermalise on an ultrafast timescale and are captured by luminescent centres47,48. The high PLQY of our double-perovskite ensures that once electrons transfer to the recombination centre, the ultimate radiative emission is very efficient. To accurately measure the RL, equimolecular Cs2Ag0.6Na0.4In1-yBiyCl6 powder with various Bi ratios were compressed into compact wafers, and then, these wafers were closely attached to the circular window of an integrating sphere with a fixed distance to the X-ray source. The corresponding RL spectra were recorded by a fibre-coupled spectrometer (Fig. 2b). Figure 2c shows photographs of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 SCs and powder under X-ray excitation, yielding strong and uniform light-yellow emission. Figure 2d shows that the scintillation output has a nonmonotonic relation with the Bi ratio. It first increases, reaches the peak intensity at 15% Bi3+, and then drops as the Bi3+ content further increases, which is mainly attributed to the collective effect of the X-ray absorption efficiency (Fig. 2g) and radiative emission efficiency that can be reflected by the PLQY (Fig. 1f). As we anticipated, the calculated X-ray attenuation efficiency of Cs2Ag0.6Na0.4In1-yBiyCl6 enhances monotonically with Bi3+ doping because of the large atomic number of Bi3+ (Fig. 2g). Herein, when the Bi3+ content is increased from 0 to 2%, both the PLQY and X-ray absorption of Cs2Ag0.6Na0.4In1-yBiyCl6 improve, leading to a rapid increase in the RL intensity. With further doping of Bi3+ from 2% to 15%, the near-linear improvement of the X-ray absorption dominates the slowly declining radiative emission efficiency, as manifested by the PLQY, resulting in continuous enhancement of the RL intensity. With Bi3+ doping greater than 15%, the contribution of rapidly decreased PLQY exceeds that of the increased X-ray absorption efficiency of Bi3+, and the overall RL intensity diminishes. The shapes of the RL spectra are consistent with those of the corresponding PL spectra, indicating that the last step of an X-ray scintillation event is the same as the PL process, that is, they both emit light through STEs. One unique feature of STE emission is that the absorption and RL peak have a large Stokes shift, leading to negligible self-absorption, while a Pb-based perovskite scintillator, e.g., CsPbBr3, has a very small Stokes shift due to its direct bandgap4. This large Stokes shift is generally favourable for any emitters but particularly desirable for scintillators since scintillators are very thick to ensure sufficient absorption of X-rays, but the scintillations are usually weak14. As shown in Supplementary Fig. S6, the integrated RL intensity of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 has a linear response to the X-ray dose rate, highlighting its suitability for X-ray contrast imaging.

Equivalent to the PLQY, the light yield (LY) of a scintillator is regarded as the internal X-ray-to-photon conversion efficiency, which can be measured as the ratio of the total emitted photon number to the absorbed X-ray energy47. Theoretically, the LY is governed by the relation LY = 106 × SQ/(βEg), where β is a constant related to the host structure. As mentioned above, Eg slightly decreases with increasing Bi3+ content, which is a negligible factor for the LY in Cs2Ag0.6Na0.4In1-yBiyCl6. Hence, both the transfer efficiency S of hot-electron energy and the photoluminescence quantum yield Q (PLQY) govern the LY. In an attempt to quantify the RL light yield, we selected a commercial LuAG:Ce scintillator as a reference, whose light yield is 22,000 ± 4000 photons/MeV. To unify the absorbed X-ray energies of these two kinds of scintillator, the attenuation efficiencies of LuAG: Ce and Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 as a function of thickness at an X-ray photon energy of 22 keV were calculated, since the major X-ray photon energy of our tube is 22 keV (Supplementary Fig. S7). Based on this relation curve, a Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafer with a 0.4-mm thickness and a LuAG:Ce wafer with a 0.11-mm thickness were fabricated, and the corresponding RL spectra were recorded (Fig. 2f). In such circumstances, LuAG:Ce and Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 have the same X-ray absorption cross sections, and therefore, the light output can be fairly compared. Finally, Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 delivers a light yield of 39,000 ± 7000 photons per MeV, comparable with that of commercial CsI:Tl and much higher than that of the previously reported lead halide perovskite colloidal CsPbBr3 (21,000 photons/MeV)3. In addition, the light yields of Cs2Ag0.6Na0.4In1-yBiyCl6 for various Bi3+ contents are given in Fig. 2g, whose evolution trend corresponds well with the RL output intensity. It is noted that the trend of the scintillator light yield with the Bi3+ doping ratio is not exactly the same as that of the PLQY; Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 has the highest scintillation light yield, while Cs2Ag0.6Na0.4In0.98Bi0.02Cl6 has the best PLQY. This highlights the fact that optimisation of the scintillator performance cannot always follow the PLQY results since the PLQY only reflects the efficiency of the last step of a scintillation event, that is, the radiative emission of the thermalized electrons. In addition to the PLQY, the transfer efficiency S of hot-electron energy also plays a decisive role in the LY. Owing to the high atomic number of Bi, we speculate that there is a tight radius of the hot-electron distribution around Bi3+ in Cs2Ag0.6Na0.4In1-yBiyCl6, which is beneficial to hot-electron energy transfer48. The LY value is maximised when the Bi3+ doping is 15% due to the collective effect of S and Q, and the SQ product is optimised under this circumstance. Another interesting discovery is that the optimised Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator shows strong X-ray absorption efficiency from ~36 keV to 60 keV, which is the region for common medical digital radiography (Supplementary Fig. S8). Another important parameter for scintillators is the afterglow, which can reduce the signal-to-noise ratio (SNR) of the X-ray imaging. To obtain high contrast imaging without lag, it is always desirable to reduce the afterglow, especially for CT imaging. As shown in Fig. 2h, the luminance signal of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 decays to 0.1% at ~16 μs. This low afterglow significantly outperforms that of the previous Rb2CuBr3 (2.72‰ @ 20 ms)33 and is much lower than that of the widely used scintillator CsI:Tl (1.5% @ 3 ms), demonstrating the great potential of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 for real-time X-ray imaging and medical CT applications.

To implement X-ray imaging with Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 as a scintillator, a homemade optical system was built, as illustrated in Fig. 3a. Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafers with different thicknesses (0.1 mm, 0.2 mm, 0.4 mm and 0.6 mm) were tested for X-ray imaging performance. The X-ray images of the standard test-pattern plate given in Fig. 3c demonstrate that the spatial resolution decreases with thickening wafer due to the increased optical crosstalk caused by light scattering. To quantify the spatial resolution, the modulation transfer function (MTF) was calculated using slanted-edge images49 (Supplementary Fig. S9). As shown in Fig. 3d, the spatial resolution (which is defined as the spatial frequency value at MTF = 0.2) is determined to be 4.3 lp mm−1, 3.2 lp mm−1, 2.3 lp mm−1 and 1.4 lp mm−1 for Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafers with thicknesses of 0.1 mm, 0.2 mm, 0.4 mm and 0.6 mm, respectively, which are consistent with the values from the X-ray images of the standard test-pattern plate. The spatial resolution of the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafer with a 0.1-mm thickness is comparable with that of a Se direct-type X-ray imager (4.8 lp mm−1 at MTF = 0.2)2,50. There is no doubt that further decreasing the thickness of the scintillator wafer can help improve the spatial resolution of X-ray imaging, but a larger dose rate will be needed to produce a sufficient scintillating light signal when taking real-time imaging51. It is also worth mentioning that the spatial resolution can be further enhanced if the scintillator screen is closely attached to the CMOS panel since the optical crosstalk will be minimised in this case. However, with such an optical configuration, the field of view (FOV) is restricted by the size of the very expensive CMOS chip, while with our optical setup, we can view large objects such as human fingers with a 13.2-mm × 13.2-mm CMOS chip.

The environmental, thermal and X-ray radiation stability of the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator regarding the RL intensity and X-ray image quality was systematically investigated. XRD patterns of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 (Supplementary Fig. S10) measured after long-term exposure to humid ambient air indicate its high structural stability, which outperforms that of the known lead-based perovskites. The irradiation stability and thermostability of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 under ambient air were further examined. As shown in Fig. 3e, the RL intensity shows no obvious degradation under thermal treatment for 50 h at 85 °C followed by continuous X-ray irradiation for another 50 h (Fig. 3e). The X-ray images of a circuit board acquired at three specific time points (0 h, 50 h and 100 h) can hardly be distinguished from each other (inset of Fig. 3e). In addition, the MTF values of the X-ray images acquired at 0 h, 50 h and 100 h show only a slight variation (Supplementary Fig. S11). All the above analyses provide evidence of the excellent feasibility of applying the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator in pervasive environments.

Based on the optimised composition and thickness, a wafer of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 with a 0.1-mm thickness and a 5-cm diameter was prepared. SEM images of the wafer surface present its compactness and homogeneity (Fig. 4b). Utilising this wafer, we obtained X-ray images of the test-pattern plate under different doses of radiation (Fig. 4e), and the corresponding MTF results give resolutions ranging from 1.5 lp mm−1 to 4.4 lp mm−1 (Supplementary Fig. S12). This result demonstrates our scintillator’s capability to acquire high-resolution imaging under an extremely low dose of 1 μGyair, which is, to the best of our knowledge, the lowest dose requirement for perovskite-based X-ray imaging. The integrated RL intensity of Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 measured in the low-dose rate range presents an excellent linear response to the X-ray dose rate (Fig. 4d). The detection limit derived from the fitting curve when the SNR equals 3 is 19 nGyair s−1, which is much lower than the typical medical imaging dose. To assess the feasibility of using the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator for dynamic real-time X-ray imaging, a video of finger bending (Supplementary Video 1) was obtained under a low-dose rate of 47.2 μGyair s−1, which exhibits a distinct phase contrast without a ghosting effect. The randomly selected X-ray images from the video at different time points show obvious biological tissue phase contrast and clear joint details (Fig. 4f). Figure 4c and Supplementary Fig. S13 are high-quality X-ray images of different circuit boards with various electronic components. An X-ray image of the complete test-pattern plate is shown in Supplementary Fig. S14. Considering these X-ray imaging demonstrations, the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator qualifies as a potential candidate for low-dose real-time X-ray imaging.

## Discussion

In conclusion, we developed a nontoxic Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 double-perovskite scintillator, which exhibits not only a high light yield but also long-term stability under continuous thermal treatment and X-ray irradiation. High-resolution X-ray image attained under a low dose of 1 μGyair and distinct real-time imaging of finger bending demonstrate its great potential for X-ray imaging technology. Our results reveal the huge potential in exploring scintillators beyond lead halide perovskites, not only for avoiding toxic elements but also for achieving higher performance.

## Methods

### Sample fabrication and characterisation

A series of Cs2Ag1-xNaxIn1-yBiyCl6 single crystals were prepared by a slightly modified hydrothermal reaction28. First, 2 mmol of CsCl (99.9%, Xi’an Polymer Light Technology Corp.) was dissolved in 10 ml of a 10 M HCl (AR, Sinopharm) solution, followed by the addition of 1-x mol AgCl (99.999%, Aldrich), x mol NaCl (99.99%, Aladdin), 1-y mol InCl3 (99.999%, Aldrich) and y mol BiCl3 (99.99%, Macklin) at a certain ratio. The resulting mixture was transferred into a 50-ml Teflon autoclave and heated at 180 °C for 12 h. After cooling down to room temperature at 3 °C h−1, the precipitated millimetre-scale crystals were washed with isopropanol several times and dried at 60 °C in a vacuum oven.

The scintillator wafers were compressed from ground powder of the resulting bulk crystals using a hydraulic press. Approximately 50–500 mg of the powder was pressed at 15 MPa for 5 min to form scintillator wafers with thicknesses in the range of 0.1–1 mm. The thickness of the wafers was measured by a thickness gauge.

X-ray diffraction (XRD) analyses were carried out after grinding crystals into fine powder on an X-pert Powder diffractometer (PANalytical B.V.) with Cu-Kα radiation (λ = 0.15405 nm) in the 2θ range from 10° to 70°. Photoluminescence (PL) and PL excitation (PLE) spectra were recorded by an Edinburgh Instruments spectrofluorometer (FLS920). Scanning electron microscopy (SEM) images and energy-dispersive spectrometry (EDS) results were taken on a Hitachi SU8030 electron microscope equipped with an Oxford X-Max 20 silicon drift detector. Steady-state absorption spectra were detected using a home-built ultraviolet–visible spectrophotometer system equipped with an integrating sphere. PL quantum yield (PLQY) measurements were performed using an absolute photoluminescence measurement system (Hamamatsu Quantaurus-QY). Time-resolved photoluminescence (TRPL) decay kinetics were collected using a time-correlated single photon counting (TCSPC) module (PicoHarp 300) and an SPAD detector (IDQ, id100). The sample was excited by a femtosecond laser (Light Conversion Pharos, 400 nm, <300 fs, 1 MHz). Afterglow curves were detected using the single shot transient digitiser (SSTD) technique. Radioluminescence (RL) spectra were measured by a fibre-coupled fluorescence spectrometer (Ocean Optics QE PRO) equipped with an integrating sphere and a fixed X-ray source-to-sample distance.

### Light-yield measurement

As is known, the light yield can be regarded as the ratio of the number of photons emitted from the luminescent sites to the total absorbed X-ray energy. First, we separately calculated the attenuation efficiency of LuAG:Ce (22,000 ± 4000 photons/MeV) and Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 as a function of sample thickness at an X-ray photon energy of 22 keV. To unify the absorbed X-ray energies of these two kinds of scintillator, a Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 wafer with a 0.4-mm thickness and a LuAG:Ce wafer with a 0.11-mm thickness were compressed. Then, the scintillator wafers were closely attached to the circular window of an integrating sphere with a fixed distance to the X-ray source, and the corresponding RL spectra were recorded by a QE PRO fibre-coupled fluorescence spectrometer (carefully calibrated by an Ocean Optics engineer before usage). Comparing the integrated intensities of the two spectra, a light yield of 39,000 ± 7000 photons/MeV for the Cs2Ag0.6Na0.4In0.85Bi0.15Cl6 scintillator was acquired. The measurement system was cross-checked with another commercial scintillator of CsI:TI, obtaining a light yield of 57,000 photons/MeV, which matches its datasheet value (~60,000 photons/MeV) and proves the validity of the measurement method.

### X-ray imaging optical system setup

A Mini-X X-ray tube (target material: Ag, Pmax = 4 W, Vmax = 50 kV, Imax = 79 μA) produced by Amptek Inc. was utilised as the X-ray source, generating an X-ray output spectrum with both intense characteristic radiation of Ag and broad bremsstrahlung radiation. The average X-ray photon energy was ~22 keV. The X-ray dose rates were altered by adjusting the current of the X-ray tube from 5 μA to 79 μA, and were calibrated by a highly sensitive X-ray ion chamber dose meter (Radcal Corporation 10 × 5-180). The objects and scintillator wafers were placed vertically to the incident X-rays, and the scintillators were fixed just behind the objects. A reflector was utilised to deflect the optical path by 90° to diminish the negative influence caused by direct radiation from the X-ray source on the camera. To collect X-ray images, a CMOS camera (Photometrics 95B) with 1200 × 1200 pixels and a 11-μm pixel size was equipped.

### MTF measurements

MTF represents the capability to transfer the input signal modulation at a given spatial frequency to its output, and can be used to evaluate the fundamental spatial resolution performance of an imaging system. The spatial resolution can be determined by the spatial frequency value when MTF = 0.2. The MTF curve was calculated by the slanted-edge method. First, a piece of aluminium (thickness: ~1 mm) with a sharp edge was placed on the scintillator, and its edge profile was derived from the resulting X-ray image. Then, the edge spread function (ESF) was derived from the edge profile, from which we could deduce the line spread function (LSF). Finally, the MTF values were defined by the Fourier transform of the LSF as follows:

$${\it{{\mathrm{MTF}}}}\left( {\it{\upnu }} \right) = {\it{F}}\left( {{\it{{\mathrm{LSF}}}}\left( {\it{x}} \right)} \right) = {\it{F}}\left( {\frac{{{\it{{\mathrm{dESF}}}}\left( {\it{x}} \right)}}{{{\it{{\mathrm{d}}x}}}}} \right),$$

where ν is the spatial frequency, and x is the position of the pixels.

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## Acknowledgements

The authors acknowledge the support from the National Key Research and Development Program of China (2017YFA0207700), Outstanding Youth Fund of Zhejiang Natural Science Foundation of China (LR18F050001) and National Natural Science Foundation of China (61804134, 61525106, U1809204). The authors would also like to thank Mr. Yufen Han and Mr. Suilao Yao of the Beijing Hamamatsu Photonics for their helpful discussions.

## Author information

Authors

### Contributions

Y.(M.)Y. conceived the idea and supervised the project. Y.(M.)Y., W.Z. and W.M. designed the experiments. W.Z. carried out material preparation and characterisations. W.M., Y.(M.)Y. and Y.M. set up the X-ray imaging system. W.M. and W.Z. measured the scintillator property and implemented the X-ray imaging experiments. Z.C. conducted the PL-decay measurement. Y.S. and X.C. assisted the X-ray imaging experiments. W.X. and X.L. helped in the PLQY measurement. L.B. and T.L. assisted the compressing of wafers and absorption spectra measurement. W.Z. wrote the first draft of the paper and Y.(M.)Y. revised the paper with comments from X.L., H.L. and all other authors.

### Corresponding author

Correspondence to Yang (Michael) Yang.

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### Conflict of interest

The authors declare that they have no conflicts of interest.

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