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Transcranial PACT is more susceptible to the skull's acoustic distortion, mode conversion, and reverberation, which collectively lead to strong image artifacts and deteriorated spatial resolutions. We also found that PACT with a ring-shaped transducer array shows more tolerance of the skull's adverse impacts and can provide more accurate image reconstruction. Our results suggest that incorporating the skull's geometry and acoustic properties can improve transcranial PAT image reconstruction. We expect that our results have provided a more c