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The Sentieon Genomic Tools
Improved Best Practices Pipelines for Analysis of
Germline and Tumor-Normal Samples
Andreas Scherer, Ph.D. President and CEO
Dr. Donald Freed, Bioinformatics Scientist, Sentieon
20 most promising
Biotech Technology
Providers
Top 10 Analytics
Solution Providers
Hype Cycle for
Life sciences
Golden Helix
Golden Helix is a global
bioinformatics company
founded in 1998.
GWAS
Genomic Prediction
Large-N-Population Studies
RNA-Seq
Large-N CNV-Analysis
Variant Warehouse
Centralized Annotations
Hosted Reports
Sharing and Integration
Variant Calling
Filtering and Annotation
Clinical Reports
CNV Analysis
Pipeline: Run Workflows
Cited in over 1,100 peer-reviewed publications
Over 350 customers globally
Golden Helix – Who We Are
When you choose a Golden Helix solution, you get
more than just software
▪ REPUTATION
▪ TRUST
▪ EXPERIENCE
▪ INDUSTRY FOCUS
▪ THOUGHT
LEADERSHIP
▪ COMMUNITY
▪ TRAINING
▪ SUPPORT
▪ RESPONSIVENESS
▪ TRANSPARENCY
▪ INNOVATION and
SPEED
▪ CUSTOMIZATIONS
End-to-End Architecture for Clinical Testing Labs
The	Sentieon	Genomic	
Tools	– Enabling	Precision	
Data	for	Precision	Medicine
WWW.SENTIEON.COM
What	is	Precision	Data		
• Hottest	Word:	Big	Data
• But,	PRECISION	is	the	goal:
precision	recommendation,	precision	prediction	
• Big	genomics	data	for	precision	medicine:
-precision	diagnostics
-improve	precision	treatment	for	individual	
Big	+	Accurate		|	“better	data	in,	better	results	out”
Precision	Data		
-1-
Sentieon’s Mission
Enable Precision	Genomics	Data	for Precision	Medicine
• Ability	to	process	big	data	at	affordable	cost	and	time
• With	confidence
- The	highest	accuracy
- Consistent	results
-2-
Mission Products Awards ValueMission
-3-
Three	components	of	analytical	software
-mathematical methods -compute algorithms -software	implementation
http://www.cs.princeton.edu/courses/archive/spr05
/cos226/assignments/baseball/
http://www.wikiwand.com/en/Programming_language
-Same mathematical models	
as	the	Broad	Institute
-more	efficient	compute	
algorithms
-Enterprise	strength	software	implementation
DNAseq
TNseq
*1/1000	vcf differences	due	to	GATK	down-sampling,	thread	dependency,	rounding	differences
DNAseq
Identical* results	as
Broad	Institute’s	
“Best	Practice	Workflow”	
BWA-GATK	HaplotypeCaller
TNseq
Identical* results	as	
Broad	Institute’s	
“Somatic	Variant	Discovery	Workflow”
MuTect and	MuTect2
• Identical	math,	much	more	efficient	computing	algorithm	and	enterprise-
strength	software	engineering
• 10+	X	faster	whole	pipeline	FASTQ	to	VCF;	20X-50X	faster	
GATK/MuTect/MuTect2	portion;	in	core-hours
• Both	products	kept	up-to-date	with	Broad	Institute’s	releases
-4-
Mission Products Awards ValueProducts
DNAseq
TNseq
GATK	is	the	gold	standard
• “Haplotype	Caller	is	more	accurate	than	the	Unified	Genotyper”
- https://hpc.mssm.edu/files/Carneiro_workshop.pdf
• “As	of	GATK	version	3.3,	we	recommend	using	HaplotypeCaller in	all	cases,	
with	no	exceptions.”	
- Broad	Institute
• “GATK	HaplotypeCaller called	a	substantial	number	of	indels not	called	using	VarScan-
Cons	(as	well	as	GATK	UnifiedGenotyper)”	
- Warden	CD,	Adamson	AW,	Neuhausen SL,	Wu	X.	PeerJ.	2014	Sep	30;2:e600.	doi:
10.7717/peerj.600.	eCollection 2014.
-5-
GATK	Haplotype	Caller	is	the	most	accurate	DNA	analysis	tool
Mission Products Awards ValueProducts
DNAseq
TNseq
GATK	is	the	gold	standard
But	GATK	Haplotype	Caller	is	too	slow
Other	speedup	efforts:	
(1) massive	parallel	on	cloud	(challenges:	workflow,	data	privacy,	cost)	–
may	combine	with	our	solution;
(2) hardware	acceleration	(challenges:	cost,	intrusive,	inflexibility,	
scalability);
(3) corner-cutting	(challenge:	lose	info)
-6-
Team
Our	approach:	stay	with	the	most	accurate	math,	but	use	much	more	efficient	
compute	algorithm	with	enterprise-strength	software	implementation
GATK	Haplotype	Caller	is	the	most	accurate	DNA	analysis	tool
Mission Products Awards ValueProducts
DNAseq
TNseq
*Server	specs:	32	core	2.4	GHz	Intel	Xenon	server,	64	GB	memory
-7-
DNAseq TNseq
Mission Products Awards ValueProducts
18.2× 37.6× 34× 33.2× 32.1× 36× 34×
34×
33×
29×
0
1000
2000
3000
4000
5000
6000
7000
Runtime(min)
GATK 3.5 Sentieon DNA
38x
23x
40x
24x
48x
10x
0
50000
100000
150000
200000
250000
300000
MuTect MuTect2 MuTect MuTect2 MuTect MuTect2
HGSC_case6_WGS HGSC_case7 HGSC_case7_WGS
Runtime(min)
MuTect and MuTect2 Sentieon
DNAseq
TNseq
Highlights	beyond	speed:
• 100%	consistency,	no	run-to-run	differences
No	down-sampling	in	high	coverage	region,	no	thread
dependency	
è Higher	accuracy by	eliminating	software	noise
• System	robustness
è Large	dataset	joint	call	over	100K	samples	together
(without	intermediate	merging)
-8-
Mission Products Awards ValueProducts
AwardsAwards
precisionFDA
DREAM
*Screenshots	from	https://precision.fda.gov/
Consistency	Challenge
(2/25-4/25/2016)
-Top	Overall	Performance	
-Highest	Reproducibility
Truth	Challenge	
(4/26-5/26/2016)
-Highest	INDEL	Precision	
-Highest	SNP	Recall
-9-
Mission Products Value
precisionFDA
DREAM
ICGC-TCGA	DREAM	Mutation	Calling	challenge
Annual	open	contest	by	ICGC-TCGA	for	somatic	variant	
calling	accuracy.
Challenge-6	due	8/19/2016	(extended	from	4/22/2016)	
-10-
AwardsAwardsMission Products Value
precisionFDA
DREAM
ICGC-TCGA	DREAM	Mutation	Calling	challenge
SNV INDEL SV
Sentieon 98.57% Sentieon 98.14% Sentieon 100%
on 4/21		98.17% on 4/21	97.48% on 4/21	100%
Bina/Roche		97.57% Bina/Roche	97.01% Genowis 99.82%
Genowis 96.92% OICR-GSI	86.99% Gridss 99.63%
-Sentieon leads in	all	categories-
Final Leaderboard	(8/19/2016)
-11-
AwardsAwardsMission Products Value
-13-
Consistency precisionFDA Consistency Challenge Reproducibility
F1-score(%) between runs	and	between	samples
*			Sentieon standard	pipeline	results	from	Jeremy	Edwards	(University	of	New	Mexico)	submission
**	Edico,	Genalice (MAP	2.2.0)	and	Isaac	(aligner	v01.14.07.14	&	variant	caller	v2.0.13)	run	results	from	
Changhoon Kim's	(Macrogen Clinical	Laboratory)	submission
FP FN F1-score
0 0 100
0 0 100
0 0 100
3621 3673 99.92
3147 3216 99.93
Garvan vs.	Garvan rerun
Sentieon	by	UNM*
Sentieon	(dual	mapping)
ISAAC**
Genalice**
Edico Dragen**
FP FN F1-score
134633 315831 95.07
107302 295568 95.53
112255 266952 95.32
286306 433504 92.08
161213 315611 94.87
Garvan vs HLI
ValueValueAwardsMission Products
Value
-12-
Value
Accuracy precisionFDA Consistency Challenge Accuracy
F1-score(%) to NIST truth	set
All SNP	only Indel only
99.39 99.86 95.85
99.47 99.88 96.37
97.29 98.57 86.66
98.04 99.20 89.10
99.25 99.74 95.49
Garvan sample
Sentieon	by	UNM*
Sentieon	(dual	mapping)
ISAAC**
Genalice**
Edico Dragen**
All SNP	only Indel only
98.97 99.73 92.94
99.06 99.77 93.46
96.34 97.99 82.10
97.25 98.83 84.66
98.85 99.62 92.74
HLI	sample
*			Sentieon standard	pipeline	results	from	Jeremy	Edwards	(University	of	New	Mexico)	submission
**	Edico,	Genalice (MAP	2.2.0)	and	Isaac	(aligner	v01.14.07.14	&	variant	caller	v2.0.13)	run	results	from	
Changhoon Kim's	(Macrogen Clinical	Laboratory)	submission
AwardsMission Products
-14-
Accuracy precisionFDA Truth Challenge Accuracy
F1-score(%) to NIST truth	set
Observations:
• Much	higher	F1	score	(~99.9%)	than	Consistency	Challenge,	due	to	masking	out	complex	regions	in	truth	set
• Sentieon	has	excellent	consistency	between	HG001	and	HG002,	due	to	no	run-to-run	differences
All SNP	only Indel only
99.8950 99.9548 99.3628
99.8905 99.9456 99.4009
99.8805 99.9382 99.3675
99.8597 99.9587 98.9802
99.7569 99.8268 99.1359
99.5679 99.5934 99.3424
98.9492 99.5188 93.9183
98.2618 98.5357 95.8099
HG002	sample
Sentieon
GATK	(Sanofi)
Consensus	(Bina)
Verily
Edico Dragen (Macrogen)
GATK	(Garvan)
Genalice (Macrogen)
Isaac	(Macrogen)
All SNP	only Indel only
99.8971 99.9605 99.3324
99.7053 99.7483 99.3229
99.8776 99.9325 99.3903
99.8620 99.9554 99.0328
99.7739 99.8454 99.1397
99.6208 99.6487 99.3742
98.9624 99.5204 94.0347
98.2800 98.5433 95.9257
HG001	sample
ValueValueAwardsMission Products
-16-
Value	of	Sentieon	solutions
• Highest	accuracy:	most	rigorous	math,	no	noise	in	algorithm	and	software
• No	down-sampling	in	high-coverage	regions ç Critical	for	clinical	samples	
• No	run-to-run	difference	ç Critical	for	medical	decision
--- proven	in	precisionFDA challenges	and	DREAM	challenge
• Fast	turnaround,	ability	to	scale	below	20	minute	turnaround	è Improved	
productivity,	faster	medical	decision
• >10X	reduced	core-hours	è drastically	reduced	compute	cost
• Enable	large	dataset	joint	call	è Enable	genomics	big	data	analysis
ValueValueAwardsMission Products
Sentieon	tools:	fastest,	most	accurate,	zero	run-to-run	difference,	no	down-sampling,	
large	cohort	joint	call,	pure	software	solution,	running	on	any	generic	computer	systems
Sentieon
Software	
in	Use
§ Deployed	at	>100	sites	worldwide	(academia	and	industry)
§ Accumulated	usage	at	customer	sites:
>100K	WGS/WES,	>5e15	bases
Sentieon	products	are	built	on	the	solid	foundation	of	the	most	rigorous	
and	most	extensively	validated	mathematical	models	used	in	Broad	
Institute’s	Best	Practice	Workflow,	but	with	more	efficient	computing	
algorithms	and	enterprise-strength	software	implementation
-17-
DNAseq
TNseq
ValueValueAwardsMission Products
Thank You
Contact	Don	Freed	(don.freed@sentieon.com)	
if	you	would	like	to	talk	to	me	in	person

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