The architectural design and fabrication of low-cost and reliable organic X-ray imaging scintillators with high light yield, ultralow detection limits, and excellent imaging resolution is becoming one of the most attractive research directions for chemists, materials scientists, physicists, and engineers due to the devices' promising scientific and applied technological implications. However, the optimal balance between the X-ray absorption capability, exciton utilization efficiency, and photoluminescence quantum yield (PLQY) of organic scintillation materials is extremely difficult to achieve because of several competitive nonradiative processes, including intersystem crossing and internal conversion. Here, we introduced heavy atoms (Cl, Br, I) into thermally activated delayed fluorescence (TADF) chromophores to significantly increase their X-ray absorption cross-section while maintaining their unique TADF properties and high PLQY. Most importantly, the X-ray imaging screens fabricated using TADF-Br chromophores exhibited a relative light yield of approximately 20,000 photons/MeV, which is comparable with some inorganic scintillators. In addition, the detection limit of 64.5 nGy s -1 is several times lower than the standard dosage for X-ray diagnostics, demonstrating its high potential in medical radiography. Moreover, a high X-ray imaging resolution of 18.3 line pairs (lp) mm -1 was successfully achieved, exceeding the resolution of all the reported organic scintillators and most conventional inorganic scintillators. This study could help revive research on organic X-ray imaging scintillators and pave the way toward exciting applications for radiology and security screening.