Article ; Online: Clinical Implementation of MetaFusion for Accurate Cancer-Driving Fusion Detection from RNA Sequencing.
The Journal of molecular diagnostics : JMD
2023 Volume 25, Issue 12, Page(s) 921–931
Abstract: Oncogenic fusion genes may be identified from next-generation sequencing data, typically RNA-sequencing. However, in a clinical setting, identifying these alterations is challenging against a background of nonrelevant fusion calls that reduce workflow ... ...
Abstract | Oncogenic fusion genes may be identified from next-generation sequencing data, typically RNA-sequencing. However, in a clinical setting, identifying these alterations is challenging against a background of nonrelevant fusion calls that reduce workflow precision and specificity. Furthermore, although numerous algorithms have been developed to detect fusions in RNA-sequencing, there are variations in their individual sensitivities. Here this problem was addressed by introducing MetaFusion into clinical use. Its utility was illustrated when applied to both whole-transcriptome and targeted sequencing data sets. MetaFusion combines ensemble fusion calls from eight individual fusion-calling algorithms with practice-informed identification of gene fusions that are known to be clinically relevant. In doing so, it allows oncogenic fusions to be identified with near-perfect sensitivity and high precision and specificity, significantly outperforming the individual fusion callers it uses as well as existing clinical-grade software. MetaFusion enhances clinical yield over existing methods and is able to identify fusions that have patient relevance for the purposes of diagnosis, prognosis, and treatment. |
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MeSH term(s) | Humans ; Software ; Sequence Analysis, RNA/methods ; Algorithms ; High-Throughput Nucleotide Sequencing/methods ; Neoplasms/diagnosis ; Neoplasms/genetics ; RNA ; Gene Fusion |
Chemical Substances | RNA (63231-63-0) |
Language | English |
Publishing date | 2023-09-23 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2000060-1 |
ISSN | 1943-7811 ; 1525-1578 |
ISSN (online) | 1943-7811 |
ISSN | 1525-1578 |
DOI | 10.1016/j.jmoldx.2023.09.002 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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