Motion imaging in medical diagnostic ultrasound is adaptive. Clutter or threshold processing adapts as a function of data for different locations or for different times. Spatial filtering adapts as a function of data at different spatial locations at a same time. The steering angle may be set as a function of region based on the vessel orientation and maximum velocity. The region of interest for motion imaging may be expanded to counteract, at least in part, a shift due to the steering angle.
