Batch Effects in Tumor-Only Next-Generation Sequencing Panel Sequencing and Implications for Copy Number Variant

Chung Lee1, Sejoon Lee2, Hyun-Hee Koh1

  • 1Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Insights

Next generation sequencing (NGS) detects mutations using a Panel of Normals (PoN). A new method identifies and reduces batch-associated artifacts in copy number variant (CNV) detection for improved clinical genomic profiling.

Area of Science:

  • Genomic Medicine
  • Bioinformatics
  • Clinical Diagnostics

Background:

  • Next generation sequencing (NGS) is crucial for clinical detection of mutations, including copy number variants (CNVs).
  • Tumor-only CNV detection often relies on a Panel of Normals (PoN) due to the absence of matched normal samples.
  • Experimental variations, such as reagent lot differences, can impact PoN-based CNV analysis accuracy.

Purpose of the Study:

  • To investigate batch-associated fluctuations in gene-level fold changes during NGS.
  • To develop a strategy for identifying and mitigating batch-driven artifacts in CNV calling.
  • To enhance the reliability of comprehensive genomic profiling.

Main Methods:

  • Analysis of 12,104 clinical NGS datasets across 1,454 sequencing batches over four years.
  • Calculation of median and median absolute deviation of gene-level fold changes within each batch.
  • Incorporation of batch-level reference metrics into CNV result interpretation.

Main Results:

  • Batch-associated fluctuations in gene-level fold changes were identified, potentially leading to misclassification of CNVs.
  • The proposed strategy effectively identified putative batch-driven artifacts.
  • Implementation of batch-level metrics reduced false-positive CNV calls.

Conclusions:

  • A novel strategy using batch-level metrics improves the accuracy of CNV detection in NGS.
  • This approach enhances the reliability of comprehensive genomic profiling by reducing false positives.
  • The findings support more confident clinical interpretation of genomic alterations.

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