The performance of an experimental, adaptive, phased array imaging system in improving the quality of abdominal organ images in healthy volunteers was assessed. Trials were conducted under usual clinical imaging conditions and when phase aberrators of known shape and magnitude were introduced into the imaging system. The system, which uses local target brightness as a quality factor, was able to improve clinical image quality when aberrators introduced externally were present and had a negligible effect on image quality when they were not. On several of the volunteers, the phase aberrations were measured directly across the abdomen. The implications of these results for the future clinical application of adaptive imaging systems and the future system modifications are reported. © Lippincott-Raven Publishers.