A method for downsampling fluoroscopic images and enhancing guidewire visibility during coronary angioplasty includes providing a first digitized image, filtering the image with one or more steerable filters of different angular orientations, assigning a weight W and orientation O for each pixel based on the filter response for each pixel, wherein each pixel weight is assigned to a function of a maximum filter response magnitude and the pixel orientation is calculated from the angle producing the maximum filter response if the magnitude is greater than zero, wherein guidewire pixels have a higher weight than non-guidewire pixels, and downsampling the orientation and weights to calculate a second image of half the resolution of the first image, wherein the downsampling accounts for the orientation and higher weight assigned to the guidewire pixels.