Abstract: Enhanced video images are provided by an apparatus and method configured to associate one or more “interest markers” with a video stream, preferably in real-time. The combination video stream, comprised of the video output from the imaging machine interspersed with the associated interest markers, can then be segmented into desired “clips” or subsets or the original video stream. The subsets can then be searched, sorted, edited, manipulated, compressed, and eventually stored on a non-volatile output device such as a DASD or digital video recorder for later review and distribution. The interest markers serve as indicators for areas of interest that may be reviewed by a medical professional, such as a radiologist at a later time. Additionally, in a keepsake imaging application, the integrated interest markers can be used to identify high value images of the fetus for final output.