Biopsy needle guide with pointer for performing a biopsy in a tissue of a patient in conjunction with an imaging method for imaging the tissue and identification of a target volume to be examined, comprising a needle guide head (2), which is freely movable in a plane via at least two degrees of freedom and is mounted so as to be movable about an axis (S) that does not stand perpendicular to this plane, and has a needle passage opening (20, 29), a marker pin (4), which can be inserted in an opening (20, 29) of the head (2) and contains a marker part (41), which can be imaged by the imaging method with good contrast, wherein, when the marker pin (4) is inserted in the opening (20, 29), the marker part (41) lies in the pivot axis (S) of the head (2), as well as a use of such a biopsy needle guide.