An embodiment comprises and apparatus having an image capture device with an image axis and a gyroscope operable to indicate the orientation of the image axis. An embodiment of a capsule endoscopy system comprises an imaging capsule and an external unit. The imaging capsule may comprise an image capture device having an image axis and a gyroscope operable to indicate the orientation of the image axis. The external unit may comprise a gyroscope operable to indicate an orientation of a subject and a harness wearable by a subject and operable to align the gyroscope with the subject. The imaging capsule may send and image to an external unit for processing and display, and the external unit may provide for calculation of the image-axis orientation relative to the body.