An articulating device to position the head and spine during imaging and treatment of a patient. The device provides mechanism to lock a patients head using a posterior head support, and anterior face mask or a nose depressor. The device is attached to a patient couch and allows for controlled movement of the head while monitoring and capturing position to provide for returning to the same position in future imaging or treatment. The device includes pitch, roll and translation mechanisms including adjustment controls as well as sensors to capture a patients position. The device includes sensors which can feed into a controller for automated to remote control of the movement mechanisms if motors or hydraulic controllers are used.
