Lu2SiO5:Ce (LSO:Ce) is one of the promising candidates for applications in X-ray micro-imaging and flat panel display devices. In order to improve its luminescence performances, the effect of Li+ on Lu2SiO5:Ce (LSO:Ce) thin-film phosphors was investigated. The LSO: x mol% Ce, y mol% Li (x=0.6–5, y=0–8) thin-film phosphors were fabricated by sol-gel processing and characterized by measuring their structure and luminescence. The results indicated that an optimal Ce-doping concentration for photoluminescence (PL) emission intensity was achieved at x=3 (equivalent 0.375at%). After Li-codoping (y=2), the PL intensity of the LSO:Ce thin-film phosphor was increased by a factor 1.9 with respect to the Li-free thin-film phosphor. The enhanced luminescence was dominated by the improvement of the crystallinity, and the decreased luminescence at y>2 could be attributed to the creation of excessive defects, which reduced the crystallinity of thin-film phosphors.