The dimension of the ultrasound beam and the transducer array are the origin of the beam width artifact or volume averaging artifact. When the ultrasound beam is wider than the diameter of the lesion being scanned, normal tissues which lie immediately adjacent to the lesion arc included within the beam width, and their echotexture is averaged in with that of the lesion.
Thus, what appears to be the echogenicity of the lesion is really that of the lesion plus the averaged normal tissues. Because of volume averaging, cystic lesions may falsely appear to be solid, and some subtle solid lesions may become impossible to distinguish from surrounding normal tissue and, therefore, not identified at all.

See also Ultrasound Picture and Vector Array Transducer.

A thyroid ultrasound evaluates the size and shape of the thyroid gland and parathyroid glands. A thyroid ultrasound can show nodules, cysts, tumors, and an enlargement, but a sonogram cannot determine the function of the thyroid. Ultrasound guides the placement of the needle during a thyroid fine needle aspiration biopsy.

See also Sonographic Features, Ultrasound Imaging Modes, Anechoic, Beam Width Artifact and Enhancement Artifact.

A zone is a focal region of the ultrasound beam. An ultrasound beam can be directed and focused at a transmit focal zone position. The axial length of the transmit focal zone is a function of the width of the transmit aperture.
The field to be imaged is deepened by focusing the transmit energy at progressively deeper points in the body, caused by the beam properties. Typically, multiple zones are used. The main reason for multiple zones is that the transmit energy needs to be greater for points that are deeper in the body, because of the signal's attenuation as it travels into the body.

Beam zones:
The tightest focus and the narrowest beam widths for most conventional transducers are in the mid-field within the zone where the acoustic lens is focused. The ultrasound beam is less well focused and, therefore, wider in the near and far fields which are superficial and deep to the elevation plane focal zone. The beam width is greater in the near and far fields, making lesions in these locations more subject to a partial volume artifact.

See also Derated Quantity.

The perfect image quality is dependent on some assumptions of the propagation of ultrasound waves in tissues after generating in an imaging system. These assumptions are important for the developing of optimal ultrasound imaging systems.
A lot of steps can be taken to prevent artifacts and to improve image quality, for example beamforming is used to focus the ultrasound beam, and contrast agents decrease the reflectivity of the undesired interfaces or increase the backscattered echoes from the desired regions.

See also Coded Excitation, Validation and Refraction Artifact, Q-Value, Ultrasound Phantom, Dead Zone, Narrow Bandwidth.

The wider the ultrasound beam, the more severe the problem with volume averaging and the beam-width artifact, to avoid this, the ultrasound beam can be shaped with lenses.
Different possibilities to focus the beam:

Conventional multi-element transducers are electronically focused in order to minimize beam width. This transducer type can be focused electronically only along the long axis of the probe where there are multiple elements, along the short axis (elevation axis) are conventional transducers only one element wide. Electronic focusing in any axis requires multiple transducer elements arrayed along that axis. Short axis focusing of conventional multi-element transducers requires an acoustic lens which has a fixed focal length.
For operation at frequencies at or even above 10 MHz, quantization noise reduces contrast resolution. Digital beamforming gives better control over time delay quantization errors. In digital beamformers the delay accuracy is improved, thus allowing higher frequency operation. In analog beamformers, delay accuracy is in the order of 20 ns.
Phased beamformers are suitable to handle linear phased arrays and are used for sector formats such as required in cardiography to improve image quality. Beamforming in ultrasound instruments for medical imaging uses analog delay lines. The signal from each individual element is delayed in order to steer the beam in the desired direction and focuses the beam.
The receive beamformer tracks the depth and focuses the receive beam as the depth increases for each transmitted pulse. The receive aperture increase with depth. The lateral resolution is constant with depth, and decreases the sensitivity to aberrations in the imaged tissue. A requirement for dynamic control of the used elements is given. Since often a weighting function (apodization) is used for side lobe reduction, the element weights also have to be dynamically updated with depth.

See also Huygens Principle.