It is described a method for determining and assessing the tissue
surrounding an object being inserted into a patient. The method comprises
acquiring a first dataset representing a first 3D image of the patient,
acquiring a second dataset representing a second 3D image of the blood
vessel structure of the patient and acquiring a third dataset
representing a 2D image of the patient including the object. The method
further comprises recognizing the object within the 2D image, registering
two of the three datasets with each other, whereby the object is
back-projected in the blood vessel structure, in order to generate a
first combined dataset, and registering the first combined dataset with
the remaining dataset in order to generate a second combined dataset
representing a further image surrounding the object. The method allows
for combining diagnostic scanning such as CT, 3D RA and real-time 2D
fluoroscopy. Thereby, it is possible to generate an image perpendicular
to a catheter tip representing the object being inserted into the
patient. Since the 3D-RA displays the lumen and the diagnostic scanning
displays soft-tissue, it is possible to assess the tissue at the catheter
tip position.