A system employs non-uniform and nonlinear patient monitoring signals in automatically adaptively varying image resolution, image scanning frequency and acquisition speed and gates and synchronizes the image scanning and acquisition of an imaging system. A system acquires medical images of patient anatomy using a trigger generator. The trigger generator generates a trigger signal comprising a non-periodic sequence of pulses in a first signal portion within individual heart beat cycles. The first signal portion is periodically repeated for multiple sequential individual heart beat cycles. An image acquisition device acquires multiple images of a patient anatomical portion in response to corresponding multiple individual pulses of the non-periodic sequence of pulses. A display processor presents acquired images on a display for review by a user.
