Certain embodiments of the present invention provide systems and methods for correlating an acquired image with an historical image. Certain embodiments include registering an acquired image and at least one historical image according to a coordinate system, applying a metric to the acquired image and each of the historical image(s), and identifying a correlation between the acquired image and one of the historical image(s) based on the metric. Certain embodiments further include storing the correlation between the acquired image and an historical image for automatic linking of the acquired image and the historical image upon display. In certain embodiments, the acquired image and the historical image may be displayed based on the correlation. In certain embodiments, the acquired image and the historical image may be automatically linked based on the correlation. In certain embodiments, the metric analyzes the acquired image and at least one historical image based on anatomy.