Perovskite scintillators with low cost, easy preparation, environmental stability, and high-resolution have become candidates for X-ray imaging applications. Here, based on the calculation results of surface formation energy (Ef) and vacancy defect energy (Evac), a series of co-doped perovskite nanocrystals (NCs) with photoluminescence high quantum yield (PLQY) and fast luminescence decay time had been prepared by doping several bivalent metal ions into the B-site of methylammonium lead tribromide (MAPbBr3). In addition, the scintillator with flexibility was prepared using poly(vinylidene fluoride-hexafluoropropylene) (PVDF-HFP) as the carrier, showing excellent stability and scintillation performance, with a light yield of 21,200 photons/MeV, imaging resolution reached 11.7 lp/mm, and low detection limits of 462 nGyair s−1. Finally, we demonstrated the scintillator characteristic with high-quality imaging results and excellent tolerance under high dose rate X-ray (25 mGy s−1). Therefore, the combination of co-doped nanocrystals with excellent optical properties and PVDF-HFP further paves the way for the development of a scintillator.