Head & Neck setups using only a traditional Silverman can introduce reproducibility challenges by creating a pivot point between the headrest and the patient’s occipital. MoldCare cushions are composed of a soft fabric bag filled with polystyrene beads that are coated in a resin activated by water. When activated, the cushion can be molded to the patient’s precise cranial geometry resulting in superior setup reproducibility and patient comfort with or without the use of a rigid headrest.