(a) Schematic diagram of the radioluminescence microscope. A CdWO4 scintillator was placed above the radiolabelled cells and excited by β+ particles emitted from decaying radionuclides. The resulting optical photons were captured using a high numerical-aperture objective (20×, 0.75 NA) coupled to a 50 mm focal-length tube lens and an EM-CCD camera. (b) Representative brightfield and fluorescence images revealed the localisation of MDA-MB-231 cells, and radioluminescence images indicated [18F]HFB accumulated sporadically in regions (orange arrows, bottom panel) unrelated to the localisation of MDA-MB-231 cells (white arrows, bottom panel). (c) In contrast to bulk gamma counting, singe-cell analysis showed significantly greater binding of [18F]FDG to MDA-MB-231 cells in comparison to [18F]HFB. The accumulation of [18F]HFB in MDA-MB-231 cells was not significantly different from background. Experiments repeated ≥ twice. Error bars are mean ± SEM, *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001 and scale bar is 50 µm