Irradiation Geometry Research Articles

Effect of low-Z absorber׳s thickness on gamma-ray shielding parameters

Gamma ray shielding behaviour of any material can be studied by various interaction parameters such as total mass attenuation coefficient (μm); half value layer (HVL); tenth value layer (TVL); effective atomic number (Zeff), electron density (Nel), effective atomic weight (Aeff) and buildup factor. For gamma rays, the accurate measurements of μm (cm2g−1) theoretically require perfect narrow beam irradiation geometry. However, the practical geometries used for the experimental investigations deviate from perfect-narrowness thereby the multiple scattered photons cause systematic errors in the measured values of μm. Present investigation is an attempt to find the optimum value of absorber thickness (low-Z) for which these errors are insignificant and acceptable. Both experimental and theoretical calculations have been performed to investigate the effect of absorber׳s thickness on μm of six low-Z (10<Zeff<14) construction materials (cement-black; cement-white; clay; red-mud; lime-stone and plaster of paris) at gamma-ray energies 661.66keV, 1173.24keV and 1332.50keV. A computer program (GRIC2-toolkit) was designed for theoretical evaluation of shielding parameters of any material. Good agreement of theoretical and measured values of μm was observed for all absorbers with thickness ≤0.5 mean free paths, thus considered it as optimum thickness for low-Z materials in the selected energy range. White cement was found to possess maximum shielding effectiveness for the selected gamma rays.

Bioneutronics: Thermal scattering in organics tissues and its impact on BNCT dosimetry

Neutron transport calculation is a key factor in BNCT numerical dosimetry assessments where thermal neutron flux is intimately related to the neutron dose, specially, the therapeutic boron dose. In this work, numerical calculations in phantoms were performed to determine the importance of utilizing the appropriate thermal scattering treatment for different organic tissues. Two thermal treatments for the neutron scattering were included in the simulations: hydrogen bounded in bulk water and hydrogen bounded in a lipid like carbon chain (polyethylene). The results showed difference between both thermal treatments that can reach several percent points depending on the type of source and irradiated geometry.

Numerical modelling of mean radiant temperature in high-density sub-tropical urban environment

Outdoor thermal comfort has been a widely concerned issue in tropical and subtropical cities. In order to assess the conditions of outdoor thermal comfort, quantitative information on different spatial and temporal scales is required. This paper employs a numerical model (SOLWEIG – SOlar and LongWave Environmental Irradiance Geometry) to examine the spatial and temporal variations of mean radiant temperature (Tmrt), as an indicator of radiant heat load and outdoor heat stress in high-density sub-tropical urban environment in summer. The SOLWEIG model is found to simulate the six-directional shortwave and longwave radiation fluxes as well as Tmrt very well. Simulation results show that urban geometry plays an important role in intra-urban differences in summer daytime Tmrt. Open areas are generally warmer than surrounding narrow street canyons. Street canyons are sheltered from incoming direct solar radiation by shading of buildings while open areas are exposed to intense solar radiation, especially along the sunlit walls where high Tmrt is observed due to reflected short-wave radiation and long-wave radiation emitted from the sunlit building walls. The present study confirms that there are great potential in using urban geometry to mitigate high radiant heat load and daytime heat stress in the compacted urban environment. In high-density subtropical cities where high daytime Tmrt causes severe thermal discomfort in summer, dense urban structures are able to mitigate the extremely high Tmrt and improve outdoor thermal comfort. However, the shading strategy has to be cautious about air ventilation in such a dense urban environment.

SU-E-I-54: Effective Dose and Radiation Cancer Risks for Scoliosis Patients Undergoing Full Spine Radiography

Purpose: Scoliotic patients underwent a lot of radiologic examinations during the control and treatment periods. This study used the PCXMC program to calculate the effective dose of the patients and assess the radiation cancer risks. Methods: Seventy five scoliotic patients were examined using CR or DR systems during the control and treatment periods in Chang Gung Memorial Hospital. The technical factors were recorded for each patient during his/her control and treatment period. The entrance surface dose was measured using thermoluminence dosimeters and derived from technical factors and irradiated geometry. The effective dose of patients and relative radiation cancer risks were calculated by the PCXMC program. All required information regarding patient age and sex, the x-ray spectra, and the tube voltage and current were registered. The radiation risk were estimated using the model developed by the BEIR VII committee (2006). Results: The effective doses of full spine radiography with anteroposterior and lateral projections were 0.626 mSv for patients using DR systems, and 0.483mSv for patients using CR systems, respectively. The dose using DR system was 29.6% higher than those using CR system. The maximum organ dose was observed in the breast for both projections in all the systems. The risk ofmore » exposure—induced cancer death (REID) of patients for DR and CR systems were 0.009% and 0.007%, respectively. Conclusion: The risk estimates were regarded with healthy skepticism, placed more emphasis on the magnitude of the risk. The effective doses estimated in this study could be served as a reference for radiologists and technologists and demonstrate the necessity to optimize patient protection for full spine radiography though the effective doses are not at the level to induce deterministic effects and not significant in the stochastic effect. This study was supported by the grants from the Chang Gung Memorial Hospital (CMRPD1D0421)« less

WE‐EF‐BRA‐08: Cell Survival in Modulated Radiation Fields and Altered DNA‐Repair at Field Edges

Purpose:Tissue damage prognoses in radiotherapy are based on clonogenic assays that provide dose dependent cell survival rates. However, recent work has shown that apart from dose, systemic reactions and cell‐cell communication crucially influence the radiation response. These effects are probably a key in understanding treatment approaches such as microbeam radiation therapy (MRT). In this study we tried to quantify the effects on a cellular level in spatially modulated radiation fields.Methods:Pancreas carcinoma cells were cultured, plated and irradiated by spatially modulated radiation fields with an X‐ray tube and at a synchrotron. During and after treatment cells were able to communicate via the intercellular medium. Afterwards we stained for DNA and DNA damage and imaged with a fluorescence microscope.Results:Intriguingly we found that DNA damage does not strictly increase with dose. Two cell entities appear that have either a high or a low amount of DNA lesions, indicating that DNA damage is also a cell stress reaction. Close to radiation boundaries damage‐levels became alike; they were higher than expected at low and lower than expected at high doses. Neighbouring cells reacted similarly. 6 hours after exposure around 40% of the cells resembled in their reactions neighbouring cells more than randomly chosen cells that received the same dose. We also observed that close to radiation boundaries the radiation induced cell‐cycle arrest disappeared and the size of DNA repair‐centres increased.Conclusion:Cell communication plays an important role in the radiation response of tissues and may be both, protective and destructive. These effects may not only have the potential to affect conventional radiotherapy but may also be exploited to spare organs at risk by intelligently designing irradiation geometries. To that end intensive work is required to shed light on the still obscure processes in cell‐signalling and radiation biology.

SU‐E‐T‐792: Validation of a Secondary TPS for IROC‐H Recalculation of Anthropomorphic Phantoms

Purpose:To validate a secondary treatment planning system (sTPS) for use by the Imaging &amp; Radiation Oncology Core‐Houston (IROC‐H). The TPS will recalculate phantom irradiations submitted by institutions to IROC‐H and compare plan results of the institution to the sTPS.Methods:In‐field dosimetric data was collected by IROC‐H for numerous linacs at 6, 10, 15, and 18 MV. The data was aggregated and used to define reference linac classes; each class was then modeled in the sTPS (Mobius3D) by matching the in‐field characteristics. Fields used to collect IROC‐H data were recreated and recalculated using Mobius3D. The same dosimetric points were measured in the recalculation and compared to the initial collection data. Additionally, a 6MV Monte Carlo beam configuration was used to compare penumbrae in the Mobius3D models. Finally, a handful of IROC‐H head and neck phantoms were recalculated using Mobius3D.Results:Recalculation and quantification of differences between reference data and Mobius3D values resulted in a relative matching score of 12.45 (0 is a perfect match) for the default 6MV Mobius3D beam configuration. By adjusting beam configuration options, iterations resulted in scores of 8.45, 6.32, and 3.52, showing that customization could have a dramatic effect on beam configuration. After in‐field optimization, penumbra was compared between Monte Carlo and Mobius3D for the reference fields. For open jaw fields, FWHM field widths and penumbra widths were different by &lt;0.6 and &lt;1mm respectively; for MLC open fields the penumbra widths were up to 1.5mm different. Phantom recalculations showed good agreement, having an average of 0.6% error per beam.Conclusion:A secondary TPS has been validated for simple irradiation geometries using reference data collected by IROC‐H. The beam was customized to the reference data iteratively and resulted in a good match. This system can provide independent recalculation of phantom plans based on independent reference data.

Proton-induced direct and indirect damage of plasmid DNA.

Clustered DNA damage induced by 10, 20 and 30MeV protons in pBR322 plasmid DNA was investigated. Besides determination of strand breaks, additional lesions were detected using base excision repair enzymes. The plasmid was irradiated in dry form, where indirect radiation effects were almost fully suppressed, and in water solution containing only minimal residual radical scavenger. Simultaneous irradiation of the plasmid DNA in the dry form and in the solution demonstrated the contribution of the indirect effect as prevalent. The damage composition slightly differed when comparing the results for liquid and dry samples. The obtained data were also subjected to analysis concerning different methodological approaches, particularly the influence of irradiation geometry, models used for calculation of strand break yields and interpretation of the strand breaks detected with the enzymes. It was shown that these parameters strongly affect the results.

The Fricke dosimeter as an absorbed dose to water primary standard for Ir-192 brachytherapy

The aim of this project was to develop an absorbed dose to water primary standard for Ir-192 brachytherapy based on the Fricke dosimeter. To achieve this within the framework of the existing TG-43 protocol, a determination of the absorbed dose to water at the reference position, D(r0,θ0), was undertaken. Prior to this investigation, the radiation chemical yield of the ferric ions (G-value) at the Ir-192 equivalent photon energy (0.380 MeV) was established by interpolating between G-values obtained for Co-60 and 250 kV x-rays.An irradiation geometry was developed with a cylindrical holder to contain the Fricke solution and allow irradiations in a water phantom to be conducted using a standard Nucletron microSelectron V2 HDR Ir-192 afterloader. Once the geometry and holder were optimized, the dose obtained with the Fricke system was compared to the standard method used in North America, based on air-kerma strength.Initial investigations focused on reproducible positioning of the ring-shaped holder for the Fricke solution with respect to the Ir-192 source and obtaining an acceptable type A uncertainty in the optical density measurements required to yield the absorbed dose. Source positioning was found to be reproducible to better than 0.3 mm, and a careful cleaning and control procedure reduced the variation in optical density reading due to contamination of the Fricke solution by the PMMA holder. It was found that fewer than 10 irradiations were required to yield a type A standard uncertainty of less than 0.5%.Correction factors to take account of the non-water components of the geometry and the volume averaging effect of the Fricke solution volume were obtained from Monte Carlo calculations. A sensitivity analysis showed that the dependence on the input data used (e.g. interaction cross-sections) was small with a type B uncertainty for these corrections estimated to be 0.2%.The combined standard uncertainty in the determination of absorbed dose to water at the reference position for TG-43 (1 cm from the source on the transverse axis, in a water phantom) was estimated to be 0.8% with the dominant uncertainty coming from the determination of the G-value. A comparison with absorbed dose to water obtained using the product of air-kerma strength and the dose rate constant gave agreement within 1.5% for three different Ir-192 sources, which is within the combined standard uncertainties of the two methods.

Evaluation of dose conversion coefficients for external exposure using Taiwanese reference man and woman

Reference man has been widely used for external and internal dose evaluation of radiation protection. The parameters of the mathematical model of organs suggested by the International Commission of Radiological Protection (ICRP) are adopted from the average data of Caucasians. However, the organ masses of Asians are significantly different from the data of Caucasians, leading to potentially dosimetric errors. In this study, a total of 40 volunteers whose heights and weights corresponded to the statistical average of Taiwanese adults were recruited. Magnetic resonance imaging was performed, and T2-weighted images were acquired. The Taiwanese reference man and woman were constructed according to the measured organ masses. The dose conversion coefficients (DCFs) for anterior-posterior (AP), posterior-anterior (PA), right lateral (RLAT) and left lateral (LLAT) irradiation geometries were simulated. For the Taiwanese reference man, the average differences of the DCFs compared with the results of ICRP-74 were 7.6, 5.1 and 11.1 % for 0.1, 1 and 10 MeV photons irradiated in the AP direction. The maximum difference reached 51.7 % for the testes irradiated by 10 MeV photons. The size of the trunk, the volume and the geometric position of organs can cause a significant impact on the DCFs for external exposure of radiation. The constructed Taiwanese reference man and woman can be used in radiation protection to increase the accuracy of dose evaluation for the Taiwanese population.

ORGAN AND EFFECTIVE DOSE COEFFICIENTS FOR CRANIAL AND CAUDAL IRRADIATION GEOMETRIES: PHOTONS

With the introduction of new recommendations of the International Commission on Radiological Protection (ICRP) in Publication 103, the methodology for determining the protection quantity, effective dose, has been modified. The modifications include changes to the defined organs and tissues, the associated tissue weighting factors, radiation weighting factors and the introduction of reference sex-specific computational phantoms. Computations of equivalent doses in organs and tissues are now performed in both the male and female phantoms and the sex-averaged values used to determine the effective dose. Dose coefficients based on the ICRP 103 recommendations were reported in ICRP Publication 116, the revision of ICRP Publication 74 and ICRU Publication 57. The coefficients were determined for the following irradiation geometries: anterior-posterior (AP), posterior-anterior (PA), right and left lateral (RLAT and LLAT), rotational (ROT) and isotropic (ISO). In this work, the methodology of ICRP Publication 116 was used to compute dose coefficients for photon irradiation of the body with parallel beams directed upward from below the feet (caudal) and directed downward from above the head (cranial). These geometries may be encountered in the workplace from personnel standing on contaminated surfaces or volumes and from overhead sources. Calculations of organ and tissue kerma and absorbed doses for caudal and cranial exposures to photons ranging in energy from 10 keV to 10 GeV have been performed using the MCNP6.1 radiation transport code and the adult reference phantoms of ICRP Publication 110. As with calculations reported in ICRP 116, the effects of charged-particle transport are evident when compared with values obtained by using the kerma approximation. At lower energies the effective dose per particle fluence for cranial and caudal exposures is less than AP orientations while above ∼30 MeV the cranial and caudal values are greater.

Variation in the calibrated response of LiF, Al2O3, and silicon dosimeters when used for in-phantom measurements of source photons with energies between 30 KeV AND 300 KeV.

The MCNP5 radiation transport code was used to quantify changes in the absorbed dose conversion factor for LiF, Al2O3, and silicon-based electronic dosimeters calibrated in-air using standard techniques and summarily used to measure absorbed dose to water when placed in a water phantom. A mono-energetic photon source was modeled at energies between 30 keV and 300 keV for a point-source placed at the center of a water phantom, a point-source placed at the surface of the phantom, and for a 10-cm radial field geometry. Dosimetric calculations were obtained for water, LiF, Al2O3, and silicon at depths of 0.2 cm and 10 cm from the source. These results were achieved using the MCNP5 *FMESH photon energy-fluence tally, which was coupled with the appropriate DE/DF card for each dosimetric material studied to convert energy-fluence into the absorbed dose. The dosimeter's absorbed dose conversion factor was calculated as a ratio of the absorbed dose to water to that of the dosimeter measured at a specified phantom depth. The dosimeter's calibration value also was obtained. Based on these results, the absorbed dose conversion factor for a LiF dosimeter was found to deviate from its calibration value by up to 9%, an Al2O3 dosimeter by 43%, and a silicon dosimeter by 61%. These data therefore can be used to obtain LiF, Al2O3, and silicon dosimeter correction factors for mono-energetic and poly-energetic sources at measurement depths up to 10 cm under the irradiation geometries investigated herein.

Characterization of the nanoDot OSLD dosimeter in CT

The extensive use of computed tomography (CT) in diagnostic procedures is accompanied by a growing need for more accurate and patient-specific dosimetry techniques. Optically stimulated luminescent dosimeters (OSLDs) offer a potential solution for patient-specific CT point-based surface dosimetry by measuring air kerma. The purpose of this work was to characterize the OSLD nanoDot for CT dosimetry, quantifying necessary correction factors, and evaluating the uncertainty of these factors. A characterization of the Landauer OSL nanoDot (Landauer, Inc., Greenwood, IL) was conducted using both measurements and theoretical approaches in a CT environment. The effects of signal depletion, signal fading, dose linearity, and angular dependence were characterized through direct measurement for CT energies (80-140 kV) and delivered doses ranging from ∼5 to >1000 mGy. Energy dependence as a function of scan parameters was evaluated using two independent approaches: direct measurement and a theoretical approach based on Burlin cavity theory and Monte Carlo simulated spectra. This beam-quality dependence was evaluated for a range of CT scanning parameters. Correction factors for the dosimeter response in terms of signal fading, dose linearity, and angular dependence were found to be small for most measurement conditions (<3%). The relative uncertainty was determined for each factor and reported at the two-sigma level. Differences in irradiation geometry (rotational versus static) resulted in a difference in dosimeter signal of 3% on average. Beam quality varied with scan parameters and necessitated the largest correction factor, ranging from 0.80 to 1.15 relative to a calibration performed in air using a 120 kV beam. Good agreement was found between the theoretical and measurement approaches. Correction factors for the measurement of air kerma were generally small for CT dosimetry, although angular effects, and particularly effects due to changes in beam quality, could be more substantial. In particular, it would likely be necessary to account for variations in CT scan parameters and measurement location when performing CT dosimetry using OSLD.

Experimental characterization of semiconductor-based thermal neutron detectors

In the framework of NESCOFI@BTF and NEURAPID projects, active thermal neutron detectors were manufactured by depositing appropriate thickness of 6LiF on commercially available windowless p–i–n diodes. Detectors with different radiator thickness, ranging from 5 to 62μm, were manufactured by evaporation-based deposition technique and exposed to known values of thermal neutron fluence in two thermal neutron facilities exhibiting different irradiation geometries. The following properties of the detector response were investigated and presented in this work: thickness dependence, impact of parasitic effects (photons and epithermal neutrons), linearity, isotropy, and radiation damage following exposure to large fluence (in the order of 1012cm−2).

Boron carbide coatings for neutron detection probed by x-rays, ions, and neutrons to determine thin film quality

Due to the present shortage of 3He and the associated tremendous increase of its price, the supply of large neutron detection systems with 3He becomes unaffordable. Alternative neutron detection concepts, therefore, have been invented based on solid 10B converters. These concepts require development in thin film deposition technique regarding high adhesion, thickness uniformity and chemical purity of the converter coating on large area substrates. We report on the sputter deposition of highly uniform large-area 10B4C coatings of up to 2 μm thickness with a thickness deviation below 4% using the Helmholtz-Zentrum Geesthacht large area sputtering system. The 10B4C coatings are x-ray amorphous and highly adhesive to the substrate. Material analysis by means of X-ray-Photoelectron Spectroscopy, Secondary-Ion-Mass-Spectrometry, and Rutherford-Back-Scattering (RBS) revealed low impurities concentration in the coatings. The isotope composition determined by Secondary-Ion-Mass-Spectrometry, RBS, and inelastic nuclear reaction analysis of the converter coatings evidences almost identical 10B isotope contents in the sputter target and in the deposited coating. Neutron conversion and detection test measurements with variable irradiation geometry of the converter coating demonstrate an average relative quantum efficiency ranging from 65% to 90% for cold neutrons as compared to a black 3He-monitor. Thus, these converter coatings contribute to the development of 3He-free prototype detectors based on neutron grazing incidence. Transferring the developed coating process to an industrial scale sputtering system can make alternative 3He-free converter elements available for large area neutron detection systems.

High resolution 3D dosimetry for microbeam radiation therapy using optical CT

Optical Computed Tomography (CT) is a promising technique for dosimetry of Microbeam Radiation Therapy (MRT), providing high resolution 3D dose maps. Here different MRT irradiation geometries are visualised showing the potential of Optical CT as a tool for future MRT trials. The Peak-to-Valley dose ratio (PVDR) is calculated to be 7 at a depth of 3mm in the radiochromic dosimeter PRESAGE®. This is significantly lower than predicted values and possible reasons for this are discussed.

A study of the effect of the lung shape on the lung absorbed dose in six standard photon and neutron exposure geometries

According to the published results of radiation dosimetry studies, there are significant discrepancies in the organ absorbed doses of existing adult male phantoms. As stated, differences in the organ absorbed doses may be associated with the variations in the organs’ volumes, shapes and positions in the body frame. Therefore, this paper focuses on the effect of the lung shape on the lung absorbed dose by creating a series of voxel phantoms, in which the lung shape follows a statistical distribution. These phantoms were exposed to mono-energetic photons and neutrons in six standard irradiation geometries. The results show that when the phantom is irradiated by the low-energy photons, the effects of the lung shape on the lung absorbed dose are considerable (with an uncertainty of more than 100%). For the other irradiation conditions, the variation in the lung shape causes an uncertainty of less than 10% in the dose delivered to the lung.

Fluence-to-effective dose conversion coefficients from a Saudi population based phantom for monoenergetic photon beams from 10 keV to 20 MeV

Fluence-to-dose conversion coefficients are important quantities for radiation protection, derived from Monte Carlo simulations of the radiation particles through a stylised phantom or voxel based phantoms. The voxel phantoms have been developed for many ethnic groups for their accurate reflection of the anatomy. In this study, we used the Monte Carlo code MCNPX to calculate the photon fluence-to-effective dose conversion coefficients with a voxel phantom based on the Saudi Arabian male population. Six irradiation geometries, anterior–posterior (AP), posterior–anterior (PA), left lateral (LLAT), right lateral (RLAT), rotational (ROT) and isotropic (ISO) were simulated for monoenergetic photon beams from 10 keV to 20 MeV. We compared the coefficients with the reference values in ICRP Publication 116. The coefficients in the AP and PA geometries match the reference values to 9% and 12% on average as measured by root mean square while those in the LLAT, RLAT ROT and ISO geometries differ, mostly below, from the reference by 23, 22, 15 and 16%, respectively. The torso of the Saudi phantom is wider than the ICRP reference male phantom and likely to cause more attenuation to the lateral beam. The ICRP reference coefficients serve well for the Saudi male population as conservative estimations for the purpose of radiation protection.

A statistical downscaling algorithm for thermal comfort applications

We describe a new two-step modeling framework for investigating the impact of climate change on human comfort in outdoor urban environments. In the first step, climate change scenarios for air temperature and solar radiation (global, diffuse, direct components) are created using a change-factor algorithm. The change factors are calculated by comparing ranked daily regional climate model outputs for a future-period and a present-day period, and then changes consistent with these daily change factors are applied to historical hourly climate observations. In the second step, the mean-radiant-temperature (T mrt) is calculated using the SOLWEIG (SOlar and LongWave Environmental Irradiance Geometry) model. T mrt, which describes the radiant heat exchange between a person and their surroundings, is one of the most important meteorologically derived parameters governing human energy balance and outdoor thermal comfort, especially during warm and sunny days. We demonstrate that change factors can be applied independently to maximum air temperature and daily global solar radiation, and show that the outputs from the algorithm, when aggregated to daily values, are consistent with the driving regional climate model. Finally, we demonstrate how to obtain quantitative information from the scenarios regarding the potential impact of climate change on outdoor thermal comfort, by calculating changes in the distribution of hourly summer day-time T mrt and changes in the number of hours with T mrt >55 °C.

Organ and effective dose conversion coefficients for a sitting female hybrid computational phantom exposed to monoenergetic protons in idealized irradiation geometries

The conversion coefficients (CCs) relate protection quantities, mean absorbed dose (DT) and effective dose (E), with physical radiation field quantities, such as fluence (Φ). The calculation of CCs through Monte Carlo simulations is useful for estimating the dose in individuals exposed to radiation. The aim of this work was the calculation of conversion coefficients for absorbed and effective doses per fluence (DT/ Φ and E/Φ) using a sitting and standing female hybrid phantom (UFH/NCI) exposure to monoenergetic protons with energy ranging from 2 MeV to 10 GeV. The radiation transport code MCNPX was used to develop exposure scenarios implementing the female UFH/NCI phantom in sitting and standing postures. Whole-body irradiations were performed using the recommended irradiation geometries by ICRP publication 116 (AP, PA, RLAT, LLAT, ROT and ISO). In most organs, the conversion coefficients DT/Φ were similar for both postures. However, relative differences were significant for organs located in the abdominal region, such as ovaries, uterus and urinary bladder, especially in the AP, RLAT and LLAT geometries. Anatomical differences caused by changing the posture of the female UFH/NCI phantom led an attenuation of incident protons with energies below 150 MeV by the thigh of the phantom in the sitting posture, for the front-to-back irradiation, and by the arms and hands of the phantom in the standing posture, for the lateral irradiation.

Effect of irradiation distance on image contrast in epi-optoacoustic imaging of human volunteers.

In combined clinical optoacoustic (OA) and ultrasound (US) imaging, epi-mode irradiation and detection integrated into one single probe offers flexible imaging of the human body. The imaging depth in epi-illumination is, however, strongly affected by clutter. As shown in previous phantom experiments, the location of irradiation plays an important role in clutter generation. We investigated the influence of the irradiation geometry on the local image contrast of clinical images, by varying the separation distance between the irradiated area and the acoustic imaging plane of a linear ultrasound transducer in an automated scanning setup. The results for different volunteers show that the image contrast can be enhanced on average by 25% and locally by more than a factor of two, when the irradiated area is slightly separated from the probe. Our findings have an important impact on the design of future optoacoustic probes for clinical application.