The integration of perovskite photodetectors with thin-film transistor (TFT) backplane or complementary metaloxide-semiconductor CMOS circuit is a key step towards prototyping perovskite-based image sensors. Here, we demonstrate a pixel configuration for indirect X-ray detection comprising of IGZO TFTs and perovskite photodiodes (PDs). The perovskite photodiode is patterned by a two-step deposition method. Our integrated TFT/PD pixel shows a weak light detection capability down to 4 nW cm-2 , and a fast-transient response to the pulse light and gate switching. Combining with a CsI scintillator, the integrated pixel achieves a specific X-ray sensitivity of 8.2 10 2 μC mGyair-1 cm-3. Theoretically, with a stateof-the-art scintillator, the new pixel can provide a detectable signal for X-ray imaging at a dose rate as low as 10 μGyair s-1. This work provides an advanced pixel design for high resolution, high sensitivity, and high frame-rate flat-panel imager.