A positioning system for an MRI system. One aspect includes a support member for moving a patient in a non-horizontal direction within a scanning area of the MRI system, a drive member for driving the support member, and a controller for controlling the drive member to position the patient at a desired location within the scanning area. One aspect includes a guide member attached to a floor beneath the scanning area for guiding a platform member along a first linear axis generally parallel to the floor and perpendicular to a magnetic field axis of a magnet of the MRI system. A controller controls a drive member to position the patient at a desired horizontal location within the scanning area. One aspect includes a frame, a platform member rotatably coupled to the frame. A controller controls a drive member to rotate the platform member and position the patient at a desired angle within the scanning area.