An in vivo imaging device is provided for producing real-time images of small, moving or stationary cavities and surrounding tissue structure. The imaging device includes a probe assembly of very small dimensions and preferably sufficiently small to fit within cavities having a diameter on the order of that of a human coronary artery. The probe assembly may be mounted to a positioning device such as a catheter, which allows for the use of, for example, conventional guiding catheters and guide wires.