A method is presented to reconstruct the elastic modulus of soft tissue bas
ed on ultrasonic displacement and strain images for comparatively large def
ormations. If the average deformation is too large to be described with a l
inear elastic model, nonlinear displacement-strain relations must be used a
nd the mechanical equilibrium equations must include high order spatial der
ivatives of the displacement. Numerical methods were developed to reduce er
ror propagation in reconstruction algorithms, including these higher order
derivatives. Problems arising with the methods, as well as results using ul
trasound measurements on gel-based, tissue equivalent phantoms, are given.
Comparison to reconstructions using a linear elastic model shows that equiv
alent image quality can be produced with algorithms appropriate for finite
amplitude deformations.