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Genomic Data-Analysis At GenomeScan, we use Next Generation Sequencing (NGS) to translate patient samples into files with GigaBases of data. How are these analyzed? In what time? What route leads to the right interpretation of the data? Fast and accurate diagnosis Our data-analysis workflow leads to identifying the disease-causing mutation(s). After interpretation of the data, medical specialists will be able to provide their patients with the diagnosis. Fast and accurate. Quality The Leiden University Medical Centre (LUMC) has developed Magpie, an intricate software pipeline to analyze diagnostic data. The pipeline is named after this smart bird, because of its innovative tool-making abilities. Its name reflects the innovative tools that are necessary to go from Gigabases of data, to only single disease-causing mutation(s). All data-handling is fully automated. This ensures that data-generation and processing proceed as fast as possible. We deliver a constant and high data-quality, thanks to thorough testing and validation. Magpie is operated as part of multiple ISO 15189 accredited services. Magpie is updated regularly, so the diagnostic yield remains at the highest level possible. We use Magpie for our genetic tests: • Disease panels (MuscleScan, MODYScan etc.) • ExomeScan (Whole Exome Sequencing, incl. FFPE) • GenomeScan (Whole Genome Sequencing) Magpie implements GATK best practices. The variant calling pipeline is composed of the following programs: Program Used for FastQC Collection of raw and preprocessed sequence metrics Sickle Base quality trimming BWA Sequence alignment SAM tools Alignment indexing Picard Insert size and capture metrics, alignment sorting and merging BEDtools Coverage calculation GATK Variant calling VCF tools VCF concatenation and sorting Python Metrics collection, report generation QC of raw data by FastQC Data cleaning Sequence alignment by BWA BAM file Our workflow We ask for samples of the index-patient and both p arents (trio-sequencing) to maximally increase the clinical detection rate. This allows rapid detection of de novo mutations. Per individual, we find thousands of variants. Extensive processing leads to a shortlist of suspect mutations. This is referenced to selected DNA variation databases such as the Leiden Open Variation Database (LOVD). These databases contain all published mutations and their clinical features. Expert laboratory specialists then identify the disease-causing mutation(s). You will receive the results in a clear report letter. Why GenomeScan? • Large team of specialized Bioinformaticians build and maintain the analysis pipelines • Skilled Laboratory Geneticists review the variant files and interpret the data • All variants are stored anonymously in variation databases. This helps to review new variants • Magpie is operated as part of multiple ISO 15189 accredited services, ensuring a reliable data-analysis procedure. Variant Calling by GATK VCF file QC filtering and annotation Processed data to Clinical Laboratory Geneticist GenomeScan offers innovative NGS and microarray-based solutions for genetic research and diagnostics. Our disease-oriented genetic tests consist of the most up-to-date gene panels. www.genomescan.nl T +31 71 568 1050 E [email protected] Plesmanlaan 1d 2333 BZ Leiden The Netherlands