An apparatus comprising: a navigation system , wherein the navigation system comprises a display and a localization device , wherein in use the navigation system is adapted to display a virtual volumetric scene of an airway of a patient on the display of the navigation system, a steerable catheter , wherein the steerable catheter comprises an elongate flexible shaft having a proximal end portion , a distal end portion terminating in a tip , a working channel extending therebetween, a handle attached to the proximal end portion of the flexible shaft, and a localization element proximate the distal end portion of the elongate flexible shaft, an imaging device being insertable into the working channel of the steerable catheter and apdated to generate a real-time image feed of one or more reference points, wherein the orientation of the reference points is known, wherein the reference points comprise anatomical features of the airway of the patient; wherein in use the navigation system is adapted to register a real-time image feed from the imaging device to steering mechanics of the steerable catheter wherein the navigation system is adapted to: display the real-time image feed on the display; register the real-time image feed to the steering mechanics of the steerable catheter by rotating the displayed image so that the reference points in the real-time image feed are matched to the known orientation of the reference points; the steerable catheter being navigatable into the airway of the patient; track the location of the localization element of the steerable catheter in the airway using the navigation system; determine an orientation of the registered real-time image feed with respect to the tracked location of the localization element of the steerable catheter; and record the orientation of the registered real-time image feed with respect to the tracked location of the localization element of the steerable catheter. a navigation system , wherein the navigation system comprises a display and a localization device , wherein in use the navigation system is adapted to display a virtual volumetric scene of an airway of a patient on the display of the navigation system, a steerable catheter , wherein the steerable catheter comprises an elongate flexible shaft having a proximal end portion , a distal end portion terminating in a tip , a working channel extending therebetween, a handle attached to the proximal end portion of the flexible shaft, and a localization element proximate the distal end portion of the elongate flexible shaft, an imaging device being insertable into the working channel of the steerable catheter and apdated to generate a real-time image feed of one or more reference points, wherein the orientation of the reference points is known, wherein the reference points comprise anatomical features of the airway of the patient; wherein in use the navigation system is adapted to register a real-time image feed from the imaging device to steering mechanics of the steerable catheter wherein the navigation system is adapted to: display the real-time image feed on the display; register the real-time image feed to the steering mechanics of the steerable catheter by rotating the displayed image so that the reference points in the real-time image feed are matched to the known orientation of the reference points; the steerable catheter being navigatable into the airway of the patient; track the location of the localization element of the steerable catheter in the airway using the navigation system; determine an orientation of the registered real-time image feed with respect to the tracked location of the localization element of the steerable catheter; and record the orientation of the registered real-time image feed with respect to the tracked location of the localization element of the steerable catheter. <EOS>