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Trigger Warning: This episode discusses the diagnosis, treatment, and daily realities of living with a secondary cancer diagnosis.
Description: In this powerful episode, Naman Julka-Anderson and Jo McNamara sit down with Lesley Stephen who shares her journey of living with secondary breast cancer and her inspiring work with the charity Make 2nds Count. This episode is a deep dive into Lesley’s experience, from her diagnosis to her involvement in ground-breaking research and patient advocacy.
Episode 154: Part of the Living With and Beyond Cancer Series (Part 46)
Lesley Stephen was a freelance communications consultant until her life changed with a 'de novo' metastatic breast cancer (MBC) diagnosis in 2014. Her participation in a phase 1B clinical trial at the Beatson in Glasgow kept her well for seven years and fueled her passion for advocacy. Lesley’s story is one of resilience and leadership as she campaigns for better research, treatments, and support for MBC patients.
Lesley’s advocacy extends to her work with numerous organizations, including the NCRI, ICGC-ARGO, CRUK, Breast Cancer Now, ICPV, Met Up UK, and the newly formed Breast Cancer Clinical Studies Group. As a trustee of Make 2nds Count, she helps deliver unique research services for MBC patients, emphasizing the importance of access to clinical trials and new treatments.
CPD Reflection Points:
Complete this form for your accredited digital badge: Digital Badge Form.
Links from the Episode:
Research links from the Episode:
Rad Chat Links:
Credits: Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up with Lewis Edwards in a paid collaboration with Oncology Systems Limited to hear about the product Double Shell Positioning System (DSPS)-Prominent.
Lewis Edwards is a HCPC Registered Therapeutic Radiographer, Account Specialist at Oncology Systems Ltd.
To use this podcast as CPD, look at these reflection points:
1) read this journal article: Open-Face Masks in Radiotherapy: Enhancing Therapeutic Strategies for Head and Neck and Brain Cancer Patients—A Comprehensive Scoping Review - PMC
2) consider the barriers and enablers to open-face masks in radiotherapy.
3) look up the product: DSPS-Prominent®(MR) - Oncology Systems Limited
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Links from podcast:
MacroMedics Patient Positioning System DSPS for SRS & SRT Treatments
Research links:
Evaluation of positioning accuracy in head-and-neck cancer treatment: A cone beam computed tomography assessment of three immobilization devices with volumetric modulated arc therapy - PMC
Immobilisation accuracy of double shell positioning system for stereotactic radiotherapy in patients with brain tumors - PubMed
Please like and subscribe to Rad Chat on your podcast library.
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Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up with Lucy Griffiths in a paid collaboration with Oncology Systems Limited to hear about the product LUNA 3D.
Lucy Griffiths is an ex-Therapeutic Radiographer, HCPC Registered as a Radiographer from 2013 onwards. Moved from clinical work to training and education as an Application Specialist with Elekta in 2018 and now working in the commercial and training sector as Sales Manager with OSL since 2021, focusing on all things Radiotherapy.
To use this podcast as CPD, look at these reflection points:
1) read this: Characterization of a Novel 3D Surface Motion Tracking Device with Ambient Light andCamera Blockage Robustness
2) consider the benefits and limitations of the LUNA 3D
3) Look at the product: LUNA 3D - Oncology Systems Limited
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Links from podcast:
→ Characterization of a Novel 3D Surface Motion Tracking Device with Ambient Light andCamera Blockage Robustness
→ Initial Evaluation of a New SGRT System
→ Pre-clinical evaluation of a novel surface-guided radiation therapy(SGRT) system
→ Performance Evaluation of Virtual Laser-Based Surface-Guided Radiation Therapy Setup System Using Humanoid Head Phantom
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
Naman Julka-Anderson and Jo McNamara hear about the Ergéa group and the managed equipment service they offer from Tom Jacques and how they support radiotherapy managers such as Peter Enever.
Ergéa is a group of companies located in Germany, Italy and the UK. Cancer care is one of the key focus areas of the group. In the UK, Ergéa provides vendor-independent Equipment Managed Services to the NHS. This includes, among other modalities, diagnostic imaging and radiotherapy. They are the leading vendor independent provider as well as the leading provider of radiotherapy-specific managed services to the NHS.
To use this podcast as CPD, look at these reflection points:
1) reflect on Peter and Tom’s experiences of a managed equipment service.
2) consider the barriers and enablers of a managed equipment service.
3) look at the radiotherapy transformation service Ergéa group offer: https://ergeagroup.com/uk/transformation-services/radiotherapy-transformation-services/?_gl=1*tvbxdm*_up*MQ..*_ga*MTU3NTQ1NzM3NC4xNzMzNzg1NDIx*_ga_469WPCPYEK*MTczMzc4NTQyMC4xLjAuMTczMzc4NTQyMC4wLjAuMA..
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Links from podcast:
Ergéa UK: https://ergeagroup.com/uk/
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
**Trigger Warning**
Naman Julka-Anderson and Jo McNamara catch up with Florence Moon part of living with and beyond cancer series (part 45).
Discussion about Florence’s cancer diagnosis and treatment, body confidence and Eno swimwear.
To use this podcast as CPD, look at these reflection points:
1) Reflect on Florence’s experience of being offered a mastectomy.
2) Consider how you would support people like Florence in your clinical practice.
3) Read this journal article: body image and psychosocial effects in women after treatment of breast cancer: A prospective study: https://sciencedirect.com/science/article/pii/S0002961024004471
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Links from podcast:
Eno Swimwear: https://eno.eco/
Vogue Business article: https://www.voguebusiness.com/story/fashion/meet-the-brands-designing-bras-for-breast-cancer-survivors
Guardian article: https://www.theguardian.com/lifeandstyle/2023/sep/06/a-moment-that-changed-me-i-removed-my-prosthetic-breast-and-left-shame-behind
Luxiders magazine: https://luxiders.com/most-beautiful-sustainable-swimwear-on-earth-2023/
Macmillan Cancer Support charity - mastectomy: https://www.macmillan.org.uk/cancer-information-and-support/treatments-and-drugs/removing-the-breast-mastectomy
Breast Cancer Now charity resources:
Surgery for primary breast cancer: https://breastcancernow.org/about-breast-cancer/treatment/surgery-for-primary-breast-cancer/
Your body after breast cancer treatment: https://breastcancernow.org/about-breast-cancer/life-after-treatment/your-body-after-breast-cancer-treatment/
Your operation and recovery: https://breastcancernow.org/sites/default/files/publications/pdf/bcc151_your_operation_and_recovery_2022_web.pdf
Bras after surgery for breast cancer: https://breastcancernow.org/about-breast-cancer/life-after-treatment/bras-after-surgery-for-breast-cancer/
My body, myself report: https://breastcancernow.org/sites/default/files/files/my-body-myself-report.pdf
Look Good, Feel Better charity: https://lookgoodfeelbetter.co.uk/
Nubian skin - find a prosthesis softie for your skin tone: https://www.nubianskin.com/pages/skin-tone
Research article on body confidence in the American Journal of Surgery (2024):
Body image and psychosocial effects in women after treatment of breast cancer: A prospective study: https://sciencedirect.com/science/article/pii/S0002961024004471
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up Josh Naylor to discuss how Surface Guided Radiation Therapy (SGRT) has changed their practice. In this podcast episode, Josh Naylor, Principal Physicist, shares the decision to implement SGRT and how it has transformed treatments at University Hospitals Dorset.
To use this podcast as CPD, look at these reflection points:
1) reflect on Josh’s experience of implementing new practice and challenges faced.
2) consider the barriers and enablers of including all aspects of the multi-disciplinary team and wider hospital teams when implementing new technology.
3) find out more about the SGRT community, resources and videos about their technology: https://sgrt.org/
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Curious to learn more about SGRT? Visit the SGRT Community video library or join the community to stay updated on the latest best practices and events. For more information on the products mentioned, click here.
References from Josh’s presentation:
The role of surface-guided radiation therapy for improving patient safety (2021):https://www.thegreenjournal.com/article/S0167-8140(21)06702-5/abstract
AAPM task group report 302: Surface-guided radiotherapy (2022):https://aapm.onlinelibrary.wiley.com/doi/10.1002/mp.15532
ESTRO-ACROP guideline on surface guided radiation therapy (2022): https://www.thegreenjournal.com/article/S0167-8140(22)04132-9/fulltext
Quality assurance for nonradiographic radiotherapy localization and positioning systems: Report of Task Group 147 (2012): https://aapm.onlinelibrary.wiley.com/doi/10.1118/1.3681967
Watch this on our YouTube page: https://www.youtube.com/watch?v=iiHl-7uSyrg
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up Samantha Allison, Hannah Nayee and Gail Anastasi to discuss how Surface Guided Radiation Therapy (SGRT) has changed their practice.
For DIBH patients, maintaining consistent breath holds is crucial for safeguarding these organs while targeting cancer effectively. In this podcast episode we’re joined by the radiotherapy team at Royal Surrey NHS Foundation Trust to hear how they’ve used SGRT to help improve these treatments.
To use this podcast as CPD, look at these reflection points:
1) reflect on Sam, Hannah and Gail’s experience of introducing a new technology at their satellite centre.
2) consider the importance of having a training package for new staff and students.
3) find out more about the SGRT community, resources and videos about their technology: https://sgrt.org/
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Interested in learning more about SGRT for DIBH treatments? Visit the SGRT Community video library or join the community to stay updated on the latest best practices and events. For more information on the products mentioned, click here.
You can watch this video on YouTube: https://www.youtube.com/watch?v=S5_SSBBfvHg.
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up Igor Bessières and Mathieu Gonod. MapRT helps to make treatments fast, easy and safe. It uses SGRT to deliver a “clearance map”, which planners use to check which beams are deliverable during plan creation. In this podcast episode, Medical Physicists Igor Bessières and Mathieu Gonod from Centre Georges-François Leclerc share their firsthand experience with this innovative technology and its impact on treatment planning.
To use this podcast as CPD, look at these reflection points:
1) reflect on Igor and Mathieu’s experience of gathering data to showcase the benefits of new technology.
2) consider the barriers and enablers to dynamic trajectory radiotherapy.
3) find out more about the SGRT community, resources and videos about their technology: https://sgrt.org/
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Curious about clearance mapping? Dive into the comprehensive video library here or explore surface guidance for better radiation therapy planning here. Learn more about SGRT and connect with the community by visiting the SGRT Community website.
References from Igor and Mathieu’s presentations:
Benchmarking MapRT and first clinical experience: a novel solution for collision-free non-co-planar treatment planning - Journal of Applied Clinical Medical Physics (In Press) DOI: 10.1002/acm2.14572.
Tolerance of normal tissue to therapeutic irradiation (1991). International Journal of Radiation Oncology, Biology and Physics. DOI: 10.1016/0360-3016(91)90171-
Tolerance of normal tissue to therapeutic radiation (2013). Reports of radiotherapy and Oncology: https://applications.emro.who.int/imemrf/Rep_Radiother_Oncol/Rep_Radiother_Oncol_2013_1_1_35_48.pdf
Treatment Site Specific:
Lung:
Kim et al. (2020) DOI: 10.1259/bjr.20190596
Ma et al. (2021) DOI: 10.1002/acm2.13197
Head & Neck:
Gayen et al. (2020) DOI: 10.3857/roj.2020.00143
Woods et al. (2022) DOI: 10.3390/cancers14040939
Mediastinal:
Rossi et al. (2021) DOI: 10.3389/fonc.2021.619929
Breast:
Frengen et al. (2023) DOI: 10.1080/0284186X.2023.2264488
SBRT:
Biau et al. (2022) DOI: 10.1016/j.ctro.2022.11.007
Lincoln et al. (2023) DOI: 10.1088/1361-6560/ace23f
Multi:
Bertholet et al. (2023) DOI: 10.1002/mp.16899
Loebner et al. (2023) DOI: 10.1002/mp.16533
Dynamic Trajectory RadioTherapy(DTRT):
Dosimetric optimization for dynamic mixed beam arc therapy (DYMBARC) (2024): https://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.17467
Impact of the gradient in gantry-table rotation on dynamic trajectory radiotherapy plan quality (2023): https://aapm.onlinelibrary.wiley.com/doi/full/10.1002/mp.16749
A dosimetrically motivated pathfinding approach for non-isocentric dynamic trajectory radiotherapy (2024): https://iopscience.iop.org/article/10.1088/1361-6560/ad75e1
Watch this episode on YouTube: https://www.youtube.com/watch?v=9nHM1AH81S0
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up Rayk Nachtigall a Medical Physicist at Strahlenzentrum Hamburg MVZ, Germany. Traditional full-face masks can be uncomfortable and challenging for patients. At Strahlenzentrum Hamburg MVZ, maskless head and neck treatments have become the gold standard. In this episode, Rayk, Medical Physicist, shares how this approach has been successfully implemented using SGRT technology.
To use this podcast as CPD, look at these reflection points:
1) reflect on Rayk’s experience of introducing maskless treatment for people undergoing head and neck radiotherapy.
2) consider barriers and enablers of maskless head and neck radiotherapy.
3) find out more about the SGRT community, resources and videos about their technology: https://sgrt.org/
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Interested in learning more about maskless treatments? Visit the SGRT Community video library or join the community to stay updated on the latest best practices and events. For more information on the products mentioned, click here.
References from Rayk’s presentation:
Strahlenzentrum Hamburg, Germany: https://www.strahlenzentrum-hamburg.de/
Watch this episode on YouTube: https://www.youtube.com/watch?v=61o7q_If_nQ
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
Naman Julka-Anderson and Jo McNamara catch up with Louise Fraser as part of leadership series (part 27).
Discussion about Louise’s career, her role in improving patient safety in Nuclear Medicine (Imaging and Therapies) across the UK and being the UK UKHSA lead for developing a national voluntary patient safety event learning system for the Nuclear Medicine community.
To use this podcast as CPD, look at these reflection points:
1) reflect on Louise’s career pathway to date.
2) consider when patient safety has been effected within your practice.
3) consider the challenges faced by the nuclear medicine community around patient safety.
Complete this form for your accredited digital badge: https://bit.ly/3GbtR1X.
Links from podcast:
Further information on the work of the Medical Exposures Group:
Safer Radiotherapy publications:
Incident learning in clinical imaging, MRI and nuclear medicine:
Ionising Radiation (Medical Exposure) Regulations (IR(ME)R):
Read more about the work of the Medical Exposures Group:
https://www.ukhsa-protectionservices.org.uk/meg
Incident learning in clinical imaging, MRI and nuclear medicine:
Nuclear Medicine:
Please like and subscribe to Rad Chat on your podcast library.
Our links:
Link Tree:https://linktr.ee/radchat
Facebook:https://www.facebook.com/RadChatPodcast/
Instagram:https://www.instagram.com/rad__chat/
LinkedIn:https://uk.linkedin.com/company/radtalk
Tik Tok:https://www.tiktok.com/@rad_chat
Twitter:https://twitter.com/rad__chat?lang=en
YouTube: https://www.youtube.com/@radchat2259
Music and jingle credits: Dr. Ben Potts and Adam Cooke.
© Rad Chat 2025. All rights reserved.
We (or our licensors) own all intellectual property rights in this podcast and all related content, online and offline.
You may not use, copy, modify, download, archive, reproduce, distribute, display, publish, licence, create derivative works from or commercially exploit any part of our content unless we expressly agree in writing.
You must not use any images, audio, video, graphics or clips separately from their accompanying context.
Please acknowledge Rad Chat (and any identified contributors) clearly whenever referencing or sharing our content.
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