The combination of ultrasound echo images with digital particle image velocimetry (DPIV) methods has resulted in a two-dimensional, two-component velocity field measurement technique appropriate for opaque flow conditions including blood flow in clinical applications. Advanced PIV processing algorithms including an iterative scheme and window offsetting were used to increase spatial resolution. The optimum concentration of the ultrasound contrast agent used for seeding was explored. Velocity validation tests in fully developed laminar pipe flow result of echo PIV showed good agreement with both optical PIV measurements and the known analytic solution based on a volume flow measurement.