An apparatus, system and method to determine a coordinate system of a heart includes an imager and a computer. The computer is programmed to acquire a first set of initialization imaging data from an anatomical region of a free-breathing subject. A portion of the first set of initialization imaging data includes organ data, which includes cardiac data. The computer is further programmed to determine a location of a central region of a left ventricle of a heart, where the location is based on the organ data and a priori information. The computer is also programmed to determine a short axis of the left ventricle based on the determined location, acquire a first set of post-initialization imaging data from the free-breathing subject from an imaging plane orientation based on the determination of the short axis, and reconstruct at least one image from the first set of post-initialization imaging data.