A system includes an acoustic probe and an acoustic imaging machine. The acoustic probe includes a substrate with first and second principal surfaces, a device insertion port with an opening passing through the substrate from the first principal surface to the second principal surface, and an array of acoustic transducer elements supported by the substrate and disposed around the device insertion port. The acoustic imaging machine may systematically vary the size and/or position of the active acoustic aperture of the probe by providing transmit signals to selected acoustic transducer elements to cause the array to transmit an acoustic probe signal to an area of interest and may record a feedback signal of the transmit signals from an acoustic receiver provided at a distal end of an interventional device passed through the device insertion port into the area of interest to find an active acoustic aperture having optimal acoustic performance.