An ultrasound system includes an ultrasound probe (205) and an image processor (202) for generating ultrasound images from acoustic data received by the probe, and for automatically making adjustments to beamformed acoustic pulse locations and deriving the adjustments to the pulse locations from pre-established user image adjustment selections available on a user interface. A relationship is established between a depth of a distal end (231) of a medical device (230) and a transmit focal depth displayed on a display (300). A depth of the distal end of the medical device (230) is used to generate increment/decrement decisions with respect to a transmit focal depth.
