We present an overview of the detection of point scatterers in ultrasound images and suggest strategies for evaluating and measuring the detection performance. We use synthetic aperture Field II simulations of a point scatterer in speckle background and evaluate how common imaging techniques affect point target detectability. We discuss how to compare different methods and calculate confidence intervals. In general, applying speckle reduction methods reduces the point detection performance. However, the results show that it is possible to smooth the speckle background and preserve relatively high performance with a suitable and optimized method. The different detection performances of the advanced beamforming methods coherence factor (CF), phase coherence factor (PCF), and Capon's minimum variance (MV) are presented and benchmarked with standard delay-and-sum (DAS). The results show that CF achieves slightly better detection performance than DAS for weak point scatterers, whereas PCF and MV perform worse than DAS. Choice of apodization window and adaptive aperture size affects the probability of detection. Results show that methods that preserve spatial resolution have better detection performance of point scatterers.