Systems, methods, and computer-readable storage media relate to generate an integrated image including fluoroscopy venogram and myocardial image with left-ventricular (LV) contraction sequence and scar distribution. The method may include processing myocardial image to determine LV systolic and diastolic dyssynchrony, the processing including generating one or more quantitative indices, the quantitative indices including myocardial scar distribution and contraction sequence generating an integrated image including myocardial image and fluoroscopy venogram data, the integrated image including at least one rank of lead placement quality. The fluoroscopy venogram data may be either 2D fluoroscopy venogram or 3D LV venous anatomy reconstructed from the 2D fluoroscopy venogram.
