A modular intervention bed for use with a medical tomographic imaging system having an associated patient transport device and an imaging device. The modular intervention bed comprises a trestle configured to engage a patient transport device, with the trestle having an intervention area. A patient couch movably mounted on the trestle, with the patient couch defining an opening corresponding to the intervention area. The couch comprises a plurality of patient mats with each mat connected to at least one other mat, a pair of rollers mounted on each mat in a spaced apart relationship with each roller proximate an outside edge of each mat. The modular intervention bed can be reconfigured by adding or removing a mat thereby moving the intervention area and opening to correspond with the portion of a patient under investigation during an intervention procedure guided by a medical tomographic imaging system.