Ultrasonic shearwave imaging with patient-adaptive shearwave generation

An ultrasonic diagnostic imaging system acquires different kinds of pilot images showing different characteristics of a region of a body where shearwave measurements are performed. The pilot images are analyzed by a push pulse locator to adaptively generate push pulses at locations in the body which minimize or avoid shearwave travel through blood vessels, through regions of stiffness inhomogeneities in the body, or at times when shearwaves are adversely affected by tissue motion.