MR imaging and intervention functions are localized within a single device. At least one integrated coil device (62,63,64,90) which has at least one RF coil (72,94,112,118), a housing (70,74,92,96,110,114) which encases the RF coil and provides an anatomically conformal surface, and a plurality of apertures. The integrated coil device slides along a guide rail system (66) to adjust the size of a patient anatomical imaging region (60). The apertures in the integrated coil device are available to secure tool holder grid plate inserts (67,116,130,131) or other interventional device guides. The inserts assist in holding the soft tissue for diagnostic imaging and provide support for biopsy/interventional instrument guides (140). The integrated MR imaging and interventional coil device works in combination with a prone patient support structure (20), an adaptive torso sling (55), and also features an open architecture design for improved patient access. The device also works for supine or side imaging procedures.