MEDICAL VIEWING SYSTEM WITH A VIEWING ANGLE OPTIMIZATION FUNCTION

An medical viewing system (10) adapted for acquiring a first set of X-ray fluoroscopy images of an ultrasonic probe (40) of an echocardiography imaging device at two different viewing angles, wherein a processing unit (30) of the system is adapted for registering live echocardiography and live X-ray images based on the first set of X-ray fluoroscopy images, localizing cusp nadirs positions of a set of characteristic features (42, 44, 46) in the X-ray subsequent frames, establishing a set of markers to match the localized positions of the cusp nadirs characteristic features (42, 44, 46), and determining an optimal viewing angle of the X-ray image acquisition device (12), in which the markers of the second set of markers lie on a single line and are equidistant from each other in the X-ray field of view. This enables a precise alignment of the X-ray imaging device, especially for TAVR procedures.