作者: Kevin Blighe Nick Beauchamp
DOI: 10.4172/1948-5956.1000300
关键词: Gold standard (test) 、 Sanger sequencing 、 DNA sequencing 、 Data mining 、 Patient care 、 National health service 、 Pipeline (software) 、 Diagnostic laboratory 、 Data science 、 Medicine
摘要: As next generation sequencing (NGS) technology has already become a regular fixture in research, it is now time for clinical environments to also reap the benefits of such technology. Indeed, rich promise NGS potential be translated into improved patient care. However, there still doubt about widespread use diagnostics. Before implementation, must consensus on which analytical pipeline use, with follow-up confirmation variants gold standard: Sanger sequencing. Here, we present that complete agreement 341 and being used our diagnostic laboratory National Health Service England screening inherited, pathogenic variants. Details other services can found at http://www.sheffieldchildrens.nhs.uk/our-services/sheffield-diagnostic-genetics-service/. Our broadly follows ‘best practices’ guidelines set by GATK Broad Institute, novel added approach involving randomly selecting subsets reads later merging called from each. This allows falsenegatives eliminated high level confidence. Moreover, modeling reduced depth coverage reveals 30X point false-positives are >99.9% confidence. Our results allude fine balance between read-depth error, believe will increase confidence permit its gradual enrollment laboratories.