Interference artifacts occur if decreasing of the echo amplitude is not exponential with penetration depth caused by inhomogeneous tissue layers and fluid or air-filled regions. If ultrasound waves have opposite phases, i.e. if the phase difference is 180°, their amplitudes will always be in opposite directions and their sum is a weaker wave. This is destructive interference and artifacts occur.

Lateral resolution is the minimum separation of two interfaces aligned along a direction perpendicular (objects that are side by side) to the ultrasound beam. The lateral or angular resolution directly relates with the collimation of the beam emitted by the crystal. Lateral resolution is proportionally affected by the frequency, the higher the frequency the greater the lateral resolution.
Higher frequency transducers are used in fetal and pediatric echocardiography because the lateral resolution displays the smaller structures better. Lower frequencies are used for adults where structures are larger and the need for greater depth penetration is important.

Linear array transducer elements are rectangular and arranged in a line. Linear array probes are described by the radius of width in mm. A linear array transducer can have up to 512 elements spaced over 75-120 mm. The beam produced by such a narrow element will diverge rapidly after the wave travels only a few millimeters. The smaller the face of the transducer, the more divergent is the beam. This would result in poor lateral resolution due to beam divergence and low sensitivity due to the small element size.
In order to overcome this, adjacent elements are pulsed simultaneously (typically 8 to 16; or more in wide-aperture designs). In a subgroup of x elements, the inner elements pulse delayed with respect to the outer elements. The interference of the x small divergent wavelets produces a focused beam. The delay time determines the depth of focus for the transmitted beam and can be changed during scanning.
Linear arrays are usually cheaper than sector scanners but have greater skin contact and therefore make it difficult to reach organs between ribs such as the heart. One-dimensional linear array transducers may have dynamic, electronic focusing providing a narrow ultrasound beam in the image plane. In the z-plane (elevation plane - perpendicular to the image plane) focusing may be provided by an acoustic lens with a fixed focal zone.
Rectangular or matrix transducers with unequal rows of transducer elements are two-dimensional (2D), but they are termed 1.5D, because the number of rows is much less than the number of columns. These transducers provide dynamic, electronic focusing even in the z-plane.

See also Rectangular Array Transducer.

The M-mode (Motion-mode) ultrasound is used for analyzing moving body parts (also called time-motion or TM-mode) commonly in cardiac and fetal cardiac imaging. The application of B-mode and a strip chart recorder allows visualization of the structures as a function of depth and time. The M-mode ultrasound transducer beam is stationary while the echoes from a moving reflector are received at varying times.
A single beam in an ultrasound scan is used to produce the one-dimensional M-mode picture, where movement of a structure such as a heart valve can be depicted in a wave-like manner. The high sampling frequency (up to 1000 pulses per second) is useful in assessing rates and motion, particularly in cardiac structures such as the various valves and the chamber walls.

As far as ultrasound is concerned, 4D ultrasound (also referred to as live 3D ultrasound or 4B-mode) is the latest ultrasound technology - the fourth dimension means length, width, and depth over time. 4D Ultrasound takes 3D ultrasound images and adds the element of time to the progress so that a moving three-dimensional image is seen on the monitor. A 4D scan takes the same amounts of time as a 2D or 3D scan; the difference is the ultrasound equipment being used. One advantage of a 4D fetal ultrasound to a 2D-mode is that parents can see how their baby will generally look like. However, there are different opinions over the medical advantages.
To scan a 3D ultrasound image, the probe is swept over the maternal abdomen. A computer takes multiple images and renders the 3D picture. With 4D imaging, the computer takes the images as multiple pictures while the probe is hold still and a 3D image is simultaneously rendered in real time on a monitor.
In most cases, the standard 2D ultrasound is taken, and then the 3D/4D scan capability is added if an abnormality is detected or suspected. The 3D/4D sonogram is then focused on a specific area, to provide the details needed to assess and diagnose a suspected problem. A quick 4D scan of the face of the fetus may be performed at the end of a routine exam, providing the parents with a photo.
See also Obstetric and Gynecologic Ultrasound, Pregnancy Ultrasound, Fetal Ultrasound and Abdominal Ultrasound.