Photoacoustic tomography (PAT) is an imaging technique that enables us to visualize vasculature networks at high resolution at depths much greater than optical microscopy.1,2 PAT can also resolve tissue chromophores such as oxyhemoglobin and deoxyhemoglobin, which allows estimation of tissue oxygentation levels.1,3 Accurate estimation of tissue oxygentation is very important in the fields of neuroimaging, cancer diagnostics, and critical care medicine.4,5 PAT involves collection of broadband acoustic waves generated by thermoelastic expansion of tissue upon absorption of light (illuminated at near-infrared wavelengths).6,7 PAT image reconstruction involves recovery of the acoustic source distribution from the detected broadband acoustic waves, which can be performed using analytical or model-based methods.8 Analytical methods are computationally less expensive compared to model-based image reconstruction.8,9 In contrary, model-based schemes are known to generate accurate images compared to analytical schemes, specifically in scenarios where irregular acquisition geometry is involved or limited data is acquired.9,10 Even with the model-based schemes, PAT inversion becomes difficult when the number of ultrasound detector positions is limited, and the situation gets aggravated due to the presence of noise in the data. More recently deep learning-based image postprocessing schemes have been developed for artifact removal and for limited data situations in PAT/microscopy;11–13 however, these schemes were trained on simulated data and generating large experimental data is very difficult. Segmentation approaches were proposed to delineate skin lining in mesoscopic photoacoustic images.14 Active contours-based image segmentation was used to obtain the PAT region of interest (ROI), the obtained ROI was then used to perform fluence correction to make PAT more quantitative.15,16 Different computational techniques have been reported in the literature to obtain vascular network in photoacoustic imaging. Vesselness filter has been proposed to enable accurate recovery of vasculature in PAT;17–19 however, questions have been raised on the accuracy of using the vesselness filter (due to generation of artificial vasculature).20 Probabilistic approach involving different steps such as smoothing and filtering the data, clustering, vessel-segmentation using clusters, and morphological filling was developed for segmenting vessels in photoacoustic images.21 More recently convolution neural network-based approaches were also developed for jointly performing the image reconstruction and segmentation.22 Further, deep learning-based approach was proposed for segmenting animal boundary using multi-modal photoacoustic and ultrasound data.23 Further, deep learning-based method has also been developed for animal brain imaging.24 Notably segmenting vasculature is very important in the context of diagnosis and surgical guidance, specifically for cardiovascular diseases.25,26 In this work, we developed a binary tomography approach wherein we assume the reconstruction distribution contains only two unknowns namely the background and the absorbers. The major contributions of this work include: (a) application of binary tomographic methods for photoacoustic tomographic imaging involving spherical wave propagation as opposed to straight line approximation applied in x-ray computed tomography; (b) showing the utility of binary tomographic methods for improving photoacoustic tomographic imaging of vasculature; and (c) establishing the binary tomographic method superiority in photoacoustic tomographic imaging for providing approximate priors to improve model-based image reconstruction. Binary tomography problem is solved based on a dual optimization approach with an auxiliary variable posed as a constrained optimization problem. We compared the binary tomography algorithm against standard backprojection approach and model-based reconstruction schemes such as Tikhonov regularization and sparsity-based regularization.27 The performance of these different algorithms was validated with in-silico data, physical phantom, and in-vivo brain vasculature imaging data.