An imaging arrangement includes an imaging modality, a control facility, a moveable patient couch and a positioning apparatus. The positioning apparatus includes at least one optical image recording apparatus for recording at least one photo-realistic image of the patient couch. At least one item of positioning information is input with respect to an image of the patient couch shown on the display apparatus and a patient if applicable positioned thereupon. A method for positioning a patient in an imaging modality is further disclosed.