Based on intravascular ultrasound (IVUS) video images, a novel motion estimation method combining the genetic algorithm-based optical flow method and a step-by-step and sum strategy has been developed to estimate the displacement and strain distributions on the scan cross sections of the arteries. And then, real elasticity distributions were reconstructed under the conditions of small and large deformation. Experimental results of in vitro porcine arteries demonstrated the feasibility of the method. This investigation may have potentials to provide new technological means for monitoring and evaluating percutaneous transluminal coronary angioplasty procedure, especially, for the end users of IVUSpercimaging equipment.