A steering adjustment for a needle visualization ultrasound system includes a needle, an ultrasound interface and one or more processing electronics. The ultrasound interface receives ultrasound imaging information from a first set of ultrasound firings. The processing electronics are coupled to the ultrasound interface. The processing electronics utilize the information from the first set of firings and identify the angle of the needle and the optimized steering frame angle. The processing electronics are further configured to cause a second set of firings. The second set of firings are configured for the identified needle angle and steering frame angle. The processing electronics are further configured to utilize the ultrasound information from the second set of firings to adaptively and dynamically enhance the visualization of the needle.
