A system for high precision radiotherapy in the head and neck region h
as been developed. The components of the system are a head mask connec
ted to a stereotactic frame, a localization unit that can be used duri
ng CT- and MR- imaging and a stereotactic target positioner. Conformal
precision radiotherapy is planned with a new treatment planning syste
m (Voxelplan-Heidelberg). Three different multi-leaf collimator system
s are used. An evaluation of the precision and accuracy of the head fi
xation system, which was performed with a photogrammetry system, is pr
esented.