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Cross-oncopanel study reveals high sensitivity and accuracy with overall analytical performance depending on genomic regions

Title: Cross-oncopanel study reveals high sensitivity and accuracy with overall analytical performance depending on genomic regions
Authors: Gong, B; Li, D; Kusko, R; Novoradovskaya, N; Zhang, Y; Wang, S; Pabón-Peña, C; Zhang, Z; Lai, K; Cai, W; LoCoco, JS; Lader, E; Richmond, TA; Mittal, VK; Liu, LC; Johann, DJ; Willey, JC; Bushel, PR; Yu, Y; Xu, C; Chen, G; Burgess, D; Cawley, S; Giorda, K; Haseley, N; Qiu, F; Wilkins, K; Arib, H; Attwooll, C; Babson, K; Bao, L; Bao, W; Lucas, AB; Best, H; Bhandari, A; Bisgin, H; Blackburn, J; Blomquist, TM; Boardman, L; Burgher, B; Butler, DJ; Chang, CJ; Chaubey, A; Chen, T; Chierici, M; Chin, CR; Close, D; Conroy, J; Coleman, JC; Craig, DJ; Crawford, E; del Pozo, A; Deveson, IW; Duncan, D; Eterovic, AK; Fan, X; Foox, J; Furlanello, C; Ghosal, A; Glenn, S; Guan, M; Haag, C; Hang, X; Happe, S; Hennigan, B; Hipp, J; Hong, H; Horvath, K; Hu, J; Hung, LY; Jarosz, M; Kerkhof, J; Kipp, B; Kreil, DP; Łabaj, P; Lapunzina, P; Li, P; Li, QZ; Li, W; Li, Z; Liang, Y; Liu, S; Liu, Z; Ma, C; Marella, N; Martín-Arenas, R; Megherbi, DB; Meng, Q; Mieczkowski, PA; Morrison, T; Muzny, D; Ning, B; Parsons, BL; Paweletz, CP; Pirooznia, M; Qu, W; Raymond, A; Rindler, P; Ringler, R; Sadikovic, B; Mercer, Timothy; Thomas, David
Source: urn:ISSN:1474-7596 ; urn:ISSN:1474-760X ; Genome Biology, 22, 1, 109
Publisher Information: Springer Nature
Publication Year: 2021
Collection: UNSW Sydney (The University of New South Wales): UNSWorks
Subject Terms: 31 Biological Sciences; 32 Biomedical and Clinical Sciences; 3105 Genetics; Cancer; Genetics; Cancer Genomics; Human Genome; 3 Good Health and Well Being; Biomarkers; Tumor; DNA Copy Number Variations; Genetic Testing; Genomics; Humans; Molecular Diagnostic Techniques; Mutation; Neoplasms; Oncogenes; Polymorphism; Single Nucleotide; Reproducibility of Results; Sensitivity and Specificity; Analytical performance; Molecular diagnostics; Oncopanel sequencing; Precision medicine; Reproducibility; Target enrichment; anzsrc-for: 31 Biological Sciences; anzsrc-for: 32 Biomedical and Clinical Sciences
Description: Background: Targeted sequencing using oncopanels requires comprehensive assessments of accuracy and detection sensitivity to ensure analytical validity. By employing reference materials characterized by the U.S. Food and Drug Administration-led SEquence Quality Control project phase2 (SEQC2) effort, we perform a cross-platform multi-lab evaluation of eight Pan-Cancer panels to assess best practices for oncopanel sequencing. Results: All panels demonstrate high sensitivity across targeted high-confidence coding regions and variant types for the variants previously verified to have variant allele frequency (VAF) in the 5–20% range. Sensitivity is reduced by utilizing VAF thresholds due to inherent variability in VAF measurements. Enforcing a VAF threshold for reporting has a positive impact on reducing false positive calls. Importantly, the false positive rate is found to be significantly higher outside the high-confidence coding regions, resulting in lower reproducibility. Thus, region restriction and VAF thresholds lead to low relative technical variability in estimating promising biomarkers and tumor mutational burden. Conclusion: This comprehensive study provides actionable guidelines for oncopanel sequencing and clear evidence that supports a simplified approach to assess the analytical performance of oncopanels. It will facilitate the rapid implementation, validation, and quality control of oncopanels in clinical use.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: https://hdl.handle.net/1959.4/unsworks_77105
DOI: 10.1186/s13059-021-02315-0
Availability: https://hdl.handle.net/1959.4/unsworks_77105; https://unsworks.unsw.edu.au/bitstreams/2bcce3a6-7a69-4c31-b40e-2a26ac53db60/download; https://doi.org/10.1186/s13059-021-02315-0
Rights: open access ; https://purl.org/coar/access_right/c_abf2 ; CC BY ; https://creativecommons.org/licenses/by/4.0/ ; free_to_read
Accession Number: edsbas.98D7150D
Database: BASE