Overview
Syllabus
Intro
Reminders
Logistics
Background - my variant classification activities
Overview
ACMG weighted qualitative classification system
Quantitative evidence: multifactorial likelihood analysis
Clinically calibrated bioinformatic information? Assess bioinformatic features of proven pathogenic and non-pathogenic variants in large datasets -Determine the proportion of pathogenic variants in a given bioinformatogroup
Segregation data
Other components of the model?
Alignment to ACMG codes?
Recent examples of calibration
BRCA1/2 functional assay calibration
Estimating Functional Assay LRs
BRCA1/2 splicing assay calibration
Strength of evidence for splicing data
Population allele frequency as a predictor
Strength of evidence for population frequency
TP53 ACMG code strengths - starting from scratch
Converting bioinformatic predictions to ACMG/AMP
Comparing tool performance
Comparing performance for tools in combination
Specifying PM5 ACMGIAMP rule for TP53
Using somatic data - somatic to germline ratio
Using somatic data - Second hit
Conclusions
Acknowledgements for work presented here
Taught by
Ambry Genetics