RPS Head
For Surface Guided 6DoF Adjustment

The RPS Head enables precise angular correction for head and neck radiotherapy and cranial SRS. It allows submillimeter adjustments in pitch, roll, and yaw to ensure exact beam alignment and reproducible positioning. This add-on module enhances treatment precision and supports accurate surface-guided radiotherapy without interrupting workflow.

4 kg

Lightweight add-on

5+ Types

Fits various masks

+/-4°

Angle correction

200 kg

Patient weight

The Limits of Conventional Mask Fixation

Precise alignment is critical in cranial and head-and-neck radiotherapy. Yet even small deviations in patient positioning can significantly impact beam accuracy and treatment quality. The following challenges illustrate why immobilization alone is not enough:

Angular Deviations

Even slight misalignments in pitch, roll, or yaw can shift the radiation field and reduce dose accuracy.

Limited Adjustability

Conventional immobilization systems hold the patient securely but cannot correct angles once the thermoplastic mask is fixed.

Movement inside the mask

Conventional immobilization systems hold the patient securely but cannot correct angles once the thermoplastic mask is fixed.

Inconsistent Geometry

Without correction capabilities, geometry varies between fractions, affecting reproducibility in stereotactic and fractionated radiotherapy.

Advantages and Benefits

The RPS Head eliminates these limitations by allowing manual angle correction up to ±4° without removing the mask or interrupting workflow. This ensures consistent targeting, minimizes additional imaging, and maintains geometry across all fractions.

How You Benefit

Cost-efficient angular correction

RPS Head enables precise beam alignment through manual angle correction for Head and neck radiotherapy and cranial SRS, without requiring additional hardware - ideal for head and neck and stereotactic applications.

Enhance advanced systems

Augment modern ring-mounted or helical radiotherapy platforms like Halcyon® or TomoTherapy® with 6DoF alignment for reproducible treatment outcomes.

Streamline clinical workflows

RPS Head works with all standard thermoplastic mask systems and indexing boards, eliminating the need for custom integration or rework through compatibility.








    Get in Touch
    Upgrade Your Immobilization Workflow with Angular Precision

    Contact us to learn how to integrate the RPS Head for precise angular correction in cranial and head-and-neck radiotherapy.

    • MDR-compliant and ISO 13485 certified
    • Retrofit-friendly for existing immobilization boards
    • 30+ years of experience in radiotherapy positioning solutions

    Seamless Integration
    into Clinical Radiotherapy Workflows

    The RPS Head integrates seamlessly into all standard radiotherapy setups and thermoplastic radiotherapy mask systems. It is compatible with immobilization devices from Orfit, Qfix, CQ Medical, 3C, IT-V, and Macromedics and many more and mounts easily on standard indexing boards. The lightweight, durable design simplifies daily handling while maintaining mechanical rigidity.


    Fully MDR-compliant, FDA cleared and ISO 13485 certified, the RPS Head can be implemented without software or hardware modification. It is suitable for use with Halcyon®, TomoTherapy®, and photon-based systems, making it the ideal retrofit solution for clinics seeking to upgrade precision without redesigning their entire setup. The RPS Head ensures submillimeter reproducibility in SGRT and stereotactic applications.

    Our Applications
    for Advanced Radiotherapy

    Accurate imaging is crucial in stereotactic brain radiosurgery or Head & neck radiotherapy to protect healthy tissue and reduce side effects. Systems such as Varian Halcyon® deliver high precision and comfort, while the RPS Head adds direct angular correction at the treatment table for exact alignment and shorter setup times.

    • Manual angle correction at the table
    • Compatible with standard radiotherapy masks
    • Consistent geometry for every fraction

    Stereotactic radiotherapy

    Surface guided Radiotherapy

    Tomo therapy

    Radiotherapy mask

    Fractionated radiotherapy

    Brain radiotherapy

    Secure Fixation - Smarter Treatments Outcomes

    The RPS Head offers angular correction for all thermoplastic mask types. It improves stability, targeting accuracy, and reproducibility in head & neck radiotherapy.

    • Compatible with all thermoplastic mask systems
    • Enables SGRT and SRT in head & neck zones
    • Designed for Tomotherapy and other photon therapy modalities
    • Supports stereotactic and fractionated radiotherapy
    • Lightweight, easy-to-use and indexable

    Learn more about our projects

    Discover how gKteso’s positioning solutions are applied in advanced radiotherapy systems worldwide. From prototype integration to clinical implementation, our projects demonstrate precision engineering in real treatment environments. Learn how we collaborate with OEM partners to shape the next generation of radiotherapy technology.

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    Frequently Asked Questions

    How does the RPS Head enable submillimeter angular corrections even after the thermoplastic mask is fixed?

    RPS Head features a precision-engineered 6-degree-of-freedom
    mechanism allowing fine-tuned pitch, roll, and yaw adjustments after mask fixation. This makes submillimeter and sub-degree corrections possible without interrupting the clinical workflow ideal for surface-guided (SGRT) and stereotactic (SRT) treatments in highly sensitive cranial zones.

    RPS Head is fully system-independent and works with single- and two-piece thermoplastic mask systems as well as standard indexing boards. It integrates seamlessly with ring-based or helical systems such as TomoTherapy® and Halcyon® without requiring adapters or hardware modifications – making it a plug-and-play upgrade for existing setups.
    • Ensures reproducible patient alignment across all fractions
    • Enables exact beam-axis correction for optimized dose delivery
    • Reduces repositioning time and improves workflow efficiency
    • Minimizes radiation side effects through superior target accuracy


    Overall, RPS Head enhances treatment precision, safety, and consistency in head-and-neck protocols.

    RPS Head allows fine angular corrections in all three rotational axes within a clinically relevant degree range of +/- 4° with sub-degree accuracy. These micro-adjustments minimize isocenter deviation, sharpen dose conformity, and improve beam-to-target alignment. (Exact mechanical limits depend on model configuration – available in the technical datasheet.)

    Yes. RPS Head is a retrofit-friendly, plug-and-play solution that fits seamlessly into existing immobilization and indexing infrastructures. All gKteso systems are developed under ISO 13485-certified and MDR-compliant processes. Integration documentation, validation guides, and on-site training support are available – ensuring fast setup, smooth operation, and full regulatory conformity.

    Explore more precision-driven patient systems for radiotherapy

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    RPS SGRT

    The RPS SGRT provides image-guided precision without compromise for frameless radiotherapy treatments. It continuously monitors patient motion in real time to maintain exact positioning during irradiation. With intrafraction tracking and non-invasive setup, it ensures consistent accuracy and patient comfort throughout the procedure.

    RPS BASE

    The RPS Base offers full 6DoF image-guided control for advanced radiotherapy workflows. It enables ±5° angular correction across all axes, ensuring exact isocenter alignment for every session. With its smart, Linac-ready design, it streamlines setup, improves reproducibility, and supports adaptive treatment strategies.