Ultrasound imaging of flow has seen a tremendous development over the last sixty years from 1-D spectral displays to color flow mapping and the latest Vector Flow Imaging (VFI). The paper gives an overview of the development from current commercial vector flow systems to the latest advances in fast 4-D volumetric visualizations. It includes a description of the radical break with the current sequential data acquisition by the introduction of synthetic aperture imaging, where the whole region of interest is insonified using either spherical or plane waves also known as ultrafast imaging. This makes it possible to track flow continuously in all directions at frame rates of thousands of images per second. The latest research translates this to full volumetric imaging by employing matrix arrays and row-column arrays for full 3-D vector velocity estimation at all spatial points visualized at very high volume rates (4-D).