Systems, devices, and methods are provided to determine and visualize landmarks with an intraluminal imaging system for lesion assessment and treatment. An intraluminal imaging system may be configured to receive imaging data from an intraluminal imaging device, generate a set of image frames using received imaging data, and automatically calculate a luminal area associated with the body lumen for each of the image frames. The calculated luminal area and a longitudinal view of the body lumen may be displayed to a user on a display device.