Zook: GeT-RM browser: can load in different datasets for convenient cross-comparison http://t.co/zFg1WsP155 RM8398 available now #NGDx15

11:11am August 18th 2015 via Hootsuite

Zook: Lots of manual curation; data from 120MB, 94.5K true SNV, 1400 True indels. 0 FP, 1 FN. 3 partial calls of complex small var's #NGDx15

11:10am August 18th 2015 via Hootsuite

Zook: NA12878 Genome in a Bottle paper Nature Biotech 2014: http://t.co/PvWZbq5rCD Reviews results across platforms, 99.8% sens #NGDx15

11:08am August 18th 2015 via Hootsuite

Justin Zook (National Institute of Standards and Technology) "Genome in a Bottle: You may have sequenced, but how did you do?" #NGDx15

11:06am August 18th 2015 via Hootsuite

Mao:Q:Could circ fetal DNA be used? A:Difficult for this kind of testing, haven't tried yet. #NGDx15

10:10am August 18th 2015 via Hootsuite

Mao:Q:Kingsmore's 2d TAT for WGS? A:Very expensive to do WGS, current cost-effectiveness is the challenge. Considers it the future #NGDx15

10:07am August 18th 2015 via Hootsuite

Mao:Q:Could it have been caught earlier? A:Missed on ultrasound (short limbs), possible #NGDx15

10:06am August 18th 2015 via Hootsuite

Mao: This case, NICU stay was for 87 days; after consultation (prognosis dire), parents took baby home, died 3d later. #NGDx15

10:05am August 18th 2015 via Hootsuite

Mao: (Covers clinical case of Jeune Syndrome) ciliopathy gene list assisted their efforts w/ a first-pass focus on potential genes #NGDx15

10:04am August 18th 2015 via Hootsuite

Mao: Will use Sanger confirmation with insertions/deletions (up to the medical director). Genetic counselling. Final report: 14-56 d #NGDx15

9:58am August 18th 2015 via Hootsuite

Mao: Expect only 25% diagnostic yield. Parents may be at risk w/ same condition. Report 7-14d later. De novo - most common cause #NGDx15

9:57am August 18th 2015 via Hootsuite

Mao:Decided to not report incidental findings - parents are vulnerable with a sick child. #NGDx15

9:54am August 18th 2015 via Hootsuite

Mao: Selection of pts - 'high acuity', making a Dx time-critical, known genes that cause symptoms, and other testing $$ #NGDx15

9:50am August 18th 2015 via Hootsuite

Mao: NICU library prep 1d, cluster + seq 35h, data analysis 1-4d. >99% coverage at >15x #NGDx15

9:49am August 18th 2015 via Hootsuite

Mao: Less expensive than WES. Missing deep intronic regions, 5', 3' UTRs, repetitive and pseudogenes. Not including tri-nt repeats #NGDx15

9:48am August 18th 2015 via Hootsuite

Mao: 4,503 HGMD genes for inherited diseases; 98% overlaps OMIM 4K known disease-causing genes. 15Mb design. #NGDx15

9:47am August 18th 2015 via Hootsuite

Mao: NICU needs quick and precise Dx, as neonatal presentation is atypical. With precise Dx, many diseases are treatable #NGDx15

9:46am August 18th 2015 via Hootsuite

Mao: These numbers do not include expensive tests. #NGDx15

9:45am August 18th 2015 via Hootsuite

Mao: Understood to be a number of genetic and environmental factors. High mortality. Cost/day is $1,379, median stay 35d #NGDx15

9:44am August 18th 2015 via Hootsuite

Mao: Lists the most common disorders in NICU. 150K babies in the US born with birth defects. 3/100 have some major birth defect #NGDx15

9:43am August 18th 2015 via Hootsuite

Rong Mao, ARUP (Salt Lake City, UT) "Rapid turnaround inherited disease panel in the NICU" #NGDx15

9:43am August 18th 2015 via Hootsuite

Arnold:Q:Homopolymers? A:He's very familiar with the problem, and took that into consideration in the assay design #NGDx15

9:40am August 18th 2015 via Hootsuite

Arnold:Showed interesting depth vs. samples per chip plot; 14/chip hit a >200x-300x coverage. RNA-Seq - 35M reads, >90% align #NGDx15

9:39am August 18th 2015 via Hootsuite

Arnold: Shows Ion Proton summary - very high uniformity, very high coverage. Mean depth >150x. Mapped reads typically >2M/smpl #NGDx15

9:37am August 18th 2015 via Hootsuite

Arnold: Assessing workflow and performance: Used >15y old samples, Ashkenazi BRCA1/2 variants, on ASO dot blot #NGDx15

9:36am August 18th 2015 via Hootsuite

Arnold: @IcahnInstitute rank among the largest computational systems in academic medicine #NGDx15

9:35am August 18th 2015 via Hootsuite

Arnold: Data: 160-224Gb total filtered bases per day. Use Ion Reporter for var calling, annotation. Sequencing at 50% capacity #NGDx15

9:34am August 18th 2015 via Hootsuite

Arnold: 8 Chefs support 8 Protons; a Chef takes 14h for two Ion PI chips. 14 barcoded samples / chip. Plan to get add'l systems #NGDx15

9:32am August 18th 2015 via Hootsuite

Arnold: Use Equalizer (from @servingscience ) for normalizing after library prep. The site is a combination of research and clinical #NGDx15

9:31am August 18th 2015 via Hootsuite

Arnold: Functional QC via Fluidigm SNP type fingerprint assay, for AIM (ancestry informative markers) and gender SNPs #NGDx15

9:30am August 18th 2015 via Hootsuite

Arnold: BioMcroLab VolumeCheck (x2) for elution volumes; Advanced Analytical CE fragment analyzer for library sizing. #NGDx15

9:29am August 18th 2015 via Hootsuite

Arnold: Analytical QC - use Trinean DropSense 96 (x2) with cDrop for NA quant, purity. Looks for specific contaminant carryover #NGDx15

9:28am August 18th 2015 via Hootsuite

Arnold: Their facility can do 750 samples/day, Hamilton/Chemagic Star, 3x QIAsymphony, lots of automation #NGDx15

9:27am August 18th 2015 via Hootsuite

Arnold: (Dudley YouTube video on Resilience here: http://t.co/h9dge1xCuq ) #NGDx15

9:27am August 18th 2015 via Hootsuite

Arnold: More about @icahninstitute Resilience Project here: http://t.co/la5BCCcGVC An opportunity for people to help. #NGDx15

9:24am August 18th 2015 via Hootsuite

Arnold: Covers the Resilience Project - the retrospective study with 600K individuals. ID'd 13 potential resilient people #NGDx15

9:23am August 18th 2015 via Hootsuite

Arnold: Reviews AmpliSeq tech, their SuperPanel uses 12.5K primer pairs/pool and 2 pools. Uses Ion Chef automation. #NGDx15

9:21am August 18th 2015 via Hootsuite

Arnold: ~25K targets, optimized for spec and sens. Points out how easy AmpliSeq Designer is for modifying panels to meet needs #NGDx15

9:20am August 18th 2015 via Hootsuite

Arnold: Everything now is RUO. Using @iontorrent AmpliSeq and RNA-Seq, can use blood, saliva, tissue. SuperPanel: >700genes #NGDx15

9:20am August 18th 2015 via Hootsuite

Arnold: Submitting CLIA/CAP later this mo. 50K samples/y. 31K samples in-house. Support with a lot of data with a res 'super-panel' #NGDx15

9:19am August 18th 2015 via Hootsuite

Arnold: Why CT: economical, space to expand, highly trained workforce. (Not mentioned - building where GS20 was invented/developed) #NGDx15

9:17am August 18th 2015 via Hootsuite

Arnold: Mt. Sinai in Branford CT - will talk about goals, projects, and workflow #NGDx15

9:17am August 18th 2015 via Hootsuite

Todd Arnold (Icahn School Med, Mt. Sinai) "Considerations for optimizing results with @iontorrent Proton Sequencing" #NGDx15

9:16am August 18th 2015 via Hootsuite

Lin:Q:How will methylation be used in future? A:Key term - actionability. Now only preparing for the future where evidence is clear #NGDx15

9:13am August 18th 2015 via Hootsuite

Lin: Q:RNA-seq from FFPE? A:They look for fusions, mainly.Would love to do RNA-Seq from fresh tissue, but PDX is the priority #NGDx15

9:12am August 18th 2015 via Hootsuite

Lin: Germline reporting 'will become more and more important' as more cancer exomes are sequenced. #NGDx15

9:10am August 18th 2015 via Hootsuite

Lin: Germline - works with Les Biesecker (NHGRI), for incidental finding. Req 'at least 3 papers' for discussion before sign-out #NGDx15

9:09am August 18th 2015 via Hootsuite

Lin: Germline 'we stick to ACMG genes', conservative on what is reported out. #NGDx15

9:08am August 18th 2015 via Hootsuite

Lin: A constant clinical validation. Build internal db to compare back to 'is essential' (@seracare Seraseq NGS reference material) #NGDx15

9:08am August 18th 2015 via Hootsuite

Lin: Clinical / regulatory: 'higher than CLIA, little lower than NY'. Choose validation samples, QC, QA, proficiency, training #NGDx15

9:06am August 18th 2015 via Hootsuite