An optical motion sensing system (10) for use in imaging an anatomical structure employs an optical motion sensor (20) including a body contour conforming matrix ("BCCM") (30) and an optical fiber (40). Upon BCCM (30) being adjoined to the anatomical structure, BCCM (30) structurally conforms at least partially to a surface contour of the anatomical structure for reciprocating any motion by the anatomical structure. Optical fiber (40) is at least partially embedded in the BCCM (30) for generating an encoded optical signal (42) indicative of a shape of the optical fiber (40) responsive to any SOS reciprocal motion by the BCCM (30) during an imaging of the anatomical structure. System (10) further employs a motion tracker (50) responsive to encoded optical signal (42) for periodically reconstructing the shape of optical fiber (40) with each change in the shape of optical fiber (40) representing motion by the anatomical structure.
