Performance Characteristics of a Targeted Sequencing Platform for Simultaneous Detection of Single Nucleotide Variants, Insertions/Deletions, Copy Number Alterations, and Gene Fusions in Cancer Genome

Arch Pathol Lab Med. 2020 Dec 1;144(12):1535-1546. doi: 10.5858/arpa.2019-0162-OA.

Abstract

Context.—: An increasing number of molecular laboratories are implementing next-generation sequencing platforms to identify clinically actionable and relevant genomic alterations for precision oncology.

Objective.—: To describe the validation studies as per New York State-Department of Health (NYS-DOH) guidelines for the Oncomine Comprehensive Panel v2, which was originally tailored to the National Cancer Institute Molecular Analysis for Therapy Choice (NCI-MATCH) trial.

Design.—: Accuracy, precision, and reproducibility were investigated by using 130 DNA and 18 RNA samples from cytology cell blocks; formalin-fixed, paraffin-embedded tissues; and frozen samples. Analytic sensitivity and specificity were tested by using ATCC and HapMap cell lines.

Results.—: High accuracy and precision/reproducibility were observed for single nucleotide variants and insertion/deletions. We also share our experience in the detection of gene fusions and copy number alterations from an amplicon-based sequencing platform. After sequencing analysis, variant annotation and report generation were performed by using the institutional knowledgebase.

Conclusions.—: This study serves as an example for validating a comprehensive targeted next-generation sequencing assay with both DNASeq and RNASeq components for NYS-DOH.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • DNA Copy Number Variations / genetics*
  • Gene Fusion
  • Genetic Variation / genetics*
  • High-Throughput Nucleotide Sequencing / methods*
  • Humans
  • Mutagenesis, Insertional
  • Neoplasms / diagnosis
  • Neoplasms / genetics*
  • Polymorphism, Single Nucleotide / genetics
  • Precision Medicine*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sequence Analysis, DNA
  • Sequence Deletion