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Expected Erroneous Results for Analytical and Clinical Validations

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Analytical Validation

Erroneous results

The definition of acceptable error rates is based on the inverse of the established minimum performance thresholds for well defined standards. The procedure is detailed in the Analytical Performance Evaluation Plan (Doc ID: FRK-PEP-02).

The following parameters, each of which should be evaluated independently, define erroneous results:

  • Sensitivity (Indel): < 0.992

  • Sensitivity (SNP): <0.999

  • Sensitivity (CNV deletion):<0.99 for deletion, <0.98 for duplication (variant and prediction levels)

  • Precision (Indel): < 0.992

  • Precision rate (SNP): <0.997

  • Precision rate (CNV):< 0.99 for deletions and duplications (variant and prediction levels)

  • Overall F-score (SNP and Indel): <99.5%

  • Overall F-score (CNV): <99% for deletions, < 98.4% for duplications (variant and prediction levels)

Threshold for significant increase in errors:

Threshold for deviation from the baseline error rate that should be considered significant are presented below:

Parameter

Threshold (%)

Sensitivity (Indel)

0.25

Sensitivity (SNP)

0.06

Sensitivity (CNV)

0.50

Precision (Indel)

0.25

Precision rate (SNP)

0.01

Precision rate (CNV)

0.50

Clinical Validation

Erroneous results

Expected erroneous results in clinical validation are defined by the system’s ability to correctly annotate, filter, and present variants in concordance with established standards for variant annotation and interpretation. The acceptance criteria are established in the Clinical Performance Evaluation Plan (Doc ID: FRK-PEP-03). Erroneous results are defined as performance falling below the predefined acceptance thresholds for the following core software parameters:

Annotation accuracy

  • Gene concordance: < 99%

  • Region classification accuracy: < 95%

  • Effect classification accuracy: < 95%

  • HGVS nomenclature concordance (c. and p. notation): < 95%

  • Cross-build consistency (GRCh37 vs GRCh38): < 99%

Filtering performance

  • Filter sensitivity (per filter): < 99%

  • Filter specificity (per filter): < 99%

Family segregation

  • Inheritance pattern concordance: < 100%

Threshold for significant increase in errors

Threshold for deviation from the baseline error rate that should be considered significant are presented below:

Parameter

Threshold (%)

Gene concordance

0.5

Region classification

2.0

Effect classification

2.0

HGVS concordance (c./p.)

2.0

Cross-build consistency

1.0

Filter sensitivity

0.5

Filter specificity

0.5

Segregation concordance

0.5

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