The present invention provides systems, methods, and devices for orienting image data derived from body tissue. An imaging assembly is introduced into the body of a patient and rotated about an axis. A tracking beam mechanically associated with the imaging assembly is generated, such that the tracking rotates about the axis in unison with the imaging assembly. An angle that the rotating tracking beam makes between a reference rotational orientation and a reference point is determined. The reference rotational orientation can be associated with a fiducial point within the ultrasound image data, such that the ultrasound image can be oriented based on the determined tracking beam rotation angle.