Abstract: An X-ray image intensifier has an input phosphor screen with a substrate in which a large number of small holes are formed, and a fluorescent material filled in the small holes. A ratio of a maximum inner diameter to a depth of each small hole is set to be 0.5 or less. Alternatively, the input phosphor screen of the X-ray image intensifier of the invention includes a substrate in which a large number of small holes are formed, a low-refractive-index material layer formed on the inner wall of each small hole, and a fluorescent material having a refractive index higher than the low-refractive-index material layer filling each small hole.