The radial artery reflects the largest amount of physiological and pathological information about the human body. However, ultrasound signal processing involves a large number of complex functions, and traditional digital signal processing can hardly meet the requirements of real-time processing of ultrasound data. The research aims to improve computational accuracy and reduce the hardware complexity of ultrasound signal processing systems. Firstly, this paper proposes to apply the coordinate rotation digital computer (CORDIC) algorithm to the whole radial artery ultrasound signal processing, combines the signal processing characteristics of each sub-module, and designs the dynamic filtering module based on the radix-4 CORDIC algorithm, the quadrature demodulation module based on the partitioned-hybrid CORDIC algorithm, and the dynamic range transformation module based on the improved scale-free CORDIC algorithm. A digital radial artery ultrasound imaging system was then built to verify the accuracy of the three sub-modules. The simulation results show that the use of the high-performance CORDIC algorithm can improve the accuracy of data processing. This provides a new idea for the real-time processing of ultrasound signals. Finally, radial artery ultrasound data were collected from 20 volunteers using different probe scanning modes at three reference positions. The vessel diameter measurements were averaged to verify the reliability of the CORDIC algorithm for radial artery ultrasound imaging, which has practical application value for computer-aided clinical diagnosis.