This chapter seeks to familiarize the readers with acoustic radiation force impulse imaging. This mode has the advantage of being objective and independent of the sonographer. Instead of using external compression, ultrasound (US) scanners are used to generate short-duration acoustic radiation forces that impart small localized displacements in the tissue. Virtual touch imaging (VTI), similar to strain imaging, provides a qualitative elastogram. The VTI image depicts the relative stiffness in the selected ROI with a grayscale and also a color map. Qualitative evaluation of VTI grayscale image, evaluation of color map VTI image, virtual touch quantification, and virtual touch IQ (VTIQ) are the important topics which are discussed briefly throughout this chapter.