Purebred Durocs (n = 207) were used to develop a model to predict loin intramuscular fat percentage (PIMF) of the longissimus muscle in live pigs. A minimum of four longitudinal, real-time ultrasound images were collected 7 cm off-midline across the 10th to the 13th ribs on the live animal. A trained technician used texture analysis software to interpret the images and produce 10 image parameters. Backfat and loin muscle area were measured from a cross-sectional image at the 10th rib. After harvest, a slice from the 10th to the 11h rib loin interface was used to determine carcass loin intramuscular fat percentage (CIMF). The model to predict loin intramuscular fat percentage was developed using linear regression analysis with CIMF as the dependent variable. Initial independent variables were off-test weight, live animal ultrasonic 10th rib backfat and loin muscle area, and the 10 image parameters. Independent variables were removed individually until all variables remaining were significant (P < 0.05). The final prediction model included live animal ultrasound backfat and five image parameters. The multiple coefficient of determination and root mean square error for the prediction model were 0.32 and 1.02%, respectively. An independent data set of Duroc (n = 331) and Yorkshire (n = 288) pigs from two replications of the National Pork Board's Genetics of Lean Efficiency Project were used for model validation. Results showed the Duroc pigs provided the beat validation of the model. The product moment correlation and rank correlation coefficients between PIMF and CIMF were 0.60 and 0.56, respectively, in the Duroc population. Results show real-time ultrasound image analysis can be used to predict intramuscular fat percentage in live swine.