An intraluminal imaging device is provided. In one embodiment, the imaging device includes a flexible elongate member that may to be inserted into a body lumen within a patient. The flexible elongate member has a central longitudinal axis. The imaging device also has an imaging assembly that is disposed at a distal portion of the flexible elongate member. The imaging assembly comprises a flexible substrate and a plurality of ultrasound transducer elements. The plurality of ultrasound transducer elements are disposed on the flexible substrate. The flexible substrate is disposed around the central longitudinal axis of the flexible elongate member such that the ultrasound transducer elements are oriented to face away from the central longitudinal axis and the flexible substrate.