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Golden Helix’s End-to-End Solution for Clinical Labs
Steven Hystad - Field Application Scientist
Nathan Fortier – Senior Software Engineer
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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
 INNOVATION and
SPEED
 CUSTOMIZATIONS
Secondary Analysis
Why Sentieon? – Pipeline Improvements
 Why Improve Broad’s GATK Haplotype Caller?
 GATK Haplotype Caller is the most accurate DNA analysis tool
 Problem: GATK Haplotype Caller is too Slow
 Solution
 Consistent: No down-sampling or thread dependency = no run-to-run differences = More accurate
 No Javascript: low level C
 More Robust: Can handle joint genotyping on over 100K samples simultaneously without needing a gVCF
 Software-only Solution: Easily deployable, easily scalable, and easily upgraded.
 Two Product Lines
 DNAseq – BWA-GATK Haplotype Caller
 Tnseq – MuTect and MuTec2
Performance: Sentieon vs Broad
DNAseq TNseq
Proven Accuracy – Precision FDA
 Consistency Challenge
- Processed single sample consistency
- Single biological sample x two library preps
- Top overall performance
- Highest reproducibility
 Truth Challenge
- Determine accuracy in Truth Set
- Highest indel precision
- Highest SNP recall
Proven Accuracy - ICGC-TCGA DREAM Mutation Calling Challenge
 Evaluates Somatic Variant Call Accuracy
SNV INDEL Structural Variants
Sentieon 98.57% Sentieon 98.14% Sentieon 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
Customizable secondary pipeline
Sequencer Sentieon
Linux
CNV caller
FASTQ
BAM
VCF -Annotate & filter
-Clinical reports
CNV and LoH Detection
 VarSeq Calls CNVs on
- Gene Panel Data
- Exome Data
- Whole Genome Data
 Faster than CMA and MLPA
 Utilizes existing coverage data
 Calls CNVs of every size
- Small Single Exon Events
- Large Cytogenetic Events
CNV Detection via NGS
 CNVs are called from coverage
data
 Challenges
- Coverage varies between samples
- Coverage fluctuates between targets
- Systematic biases impact coverage
 Solutions
- Data Normalization
- Reference Sample Comparison
CNV calling in VarSeq
 Reference samples used for normalization
 Metrics
- Z-score: number of standard deviations from reference
sample mean
- Ratio: sample coverage divided by reference sample
mean
- VAF: Variant Allele Frequency
 For Gene Panels and Exomes
- Probabilistic model used to call CNVs
- Segmentation identifies large cytogenetic events
 For Whole Genome Data
- Targets segmented using Z-scores
- Events called based on Z-score and Ratio thresholds
VarSeq Full Clinical Stack
VarSeq Suite
 Variant annotation, filtering,
and interpretation
 Rich visualizations with
GenomeBrowse built-in
 Powerful GUI and
command-line interfaces
 Repeatable workflows
VarSeq
Simple
Flexible
Scalable
Example Workflows
 Illumina TruSight Cancer Sequencing Panel
- Oncogenes & Tumor Suppressor Genes
- Drug Targeting Information & Ongoing Clinical Trials
 Exome Trio Workflow
- Casual Variants Associated with Phenotype
- Incidental Findings
 Hereditary Risk Sequencing Panel
- Comprehensive coverage of 175 genes with known associations to inherited cardiac
conditions, cancers, and other inherited diseases.
Sample Data for Cancer Gene Panels
 Illumina TruSight Cancer Sequencing Panel
- Comprehensive coverage of 154 genes designed to target exons of key tumor
suppressor genes and frequently cited oncogenes.
- BAM and VCF files for each replicate are available
VSReports
VarSeq Demonstration
Sample Data for Exome Trio Workflows
 NA1278 17-year old Caucasian Women
- Admitted for Symptoms of Acute Gastroenteritis.
- Serum testing revealed elevated pancreatic enzymes.
- Genetic testing revealed Heterozygosity for CFTR gene mutation Δ F508
 Incidental Findings
NA12891NA12892
NA12878
VarSeq Demonstration
VSWarehouse – Variant Warehouse Server
 A place to archive full VCFs of every
sequenced sample
 Centralized genomic data hosting,
integration with other systems
 Ask the Variant Warehouse:
- Have I ever seen this variant in my
previous test samples?
- At what frequency? (counts as well)
- Does this gene contain other rare variants
in my cohort?
- Did I provide a pathogenicity assessment
for this variant? Has that changed?
- Has ClinVar changed since that
assessment was initially made?
- Have I put this variant into a clinical report
for any previous samples?
Integration with VarSeq
 VarSeq can “Export to Warehouse”
- Create a new Project
- Current project template is used
- Add Variants to Existing (data only)
 Annotate with Warehouse Counts
- Allele / Genotype counts computed on
warehouse variants (or other sources in
template).
 Remote Assessment Catalogs
- Customize databases of variant classifications
or internal flags like false-positives.
 Remote Reports
- Central versioning of report
- Queryable database of all saved reports, with
all data in form ready for EMR/LIMS
integration
VSWarehouse – Centralized Collaboration
Project A
Project B
VSWarehouse Server
Group A Group B Collaborators
VSWarehouse – Centralized Collaboration
VarSeq Full Clinical Stack
Questions or
more info:
 Email
info@goldenhelix.com
 Request an evaluation of
the software at
www.goldenhelix.com

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Golden Helix's End-to-End Solution for Clinical Labs

  • 1. Golden Helix’s End-to-End Solution for Clinical Labs Steven Hystad - Field Application Scientist Nathan Fortier – Senior Software Engineer 20 most promising Biotech Technology Providers Top 10 Analytics Solution Providers Hype Cycle for Life sciences
  • 2. Use the Questions pane in your GoToWebinar window Questions during the presentation
  • 3. 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
  • 4. Cited in over 1,100 peer-reviewed publications
  • 6. 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  INNOVATION and SPEED  CUSTOMIZATIONS
  • 7.
  • 9. Why Sentieon? – Pipeline Improvements  Why Improve Broad’s GATK Haplotype Caller?  GATK Haplotype Caller is the most accurate DNA analysis tool  Problem: GATK Haplotype Caller is too Slow  Solution  Consistent: No down-sampling or thread dependency = no run-to-run differences = More accurate  No Javascript: low level C  More Robust: Can handle joint genotyping on over 100K samples simultaneously without needing a gVCF  Software-only Solution: Easily deployable, easily scalable, and easily upgraded.  Two Product Lines  DNAseq – BWA-GATK Haplotype Caller  Tnseq – MuTect and MuTec2
  • 10. Performance: Sentieon vs Broad DNAseq TNseq
  • 11. Proven Accuracy – Precision FDA  Consistency Challenge - Processed single sample consistency - Single biological sample x two library preps - Top overall performance - Highest reproducibility  Truth Challenge - Determine accuracy in Truth Set - Highest indel precision - Highest SNP recall
  • 12. Proven Accuracy - ICGC-TCGA DREAM Mutation Calling Challenge  Evaluates Somatic Variant Call Accuracy SNV INDEL Structural Variants Sentieon 98.57% Sentieon 98.14% Sentieon 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
  • 13. Customizable secondary pipeline Sequencer Sentieon Linux CNV caller FASTQ BAM VCF -Annotate & filter -Clinical reports
  • 14. CNV and LoH Detection  VarSeq Calls CNVs on - Gene Panel Data - Exome Data - Whole Genome Data  Faster than CMA and MLPA  Utilizes existing coverage data  Calls CNVs of every size - Small Single Exon Events - Large Cytogenetic Events
  • 15. CNV Detection via NGS  CNVs are called from coverage data  Challenges - Coverage varies between samples - Coverage fluctuates between targets - Systematic biases impact coverage  Solutions - Data Normalization - Reference Sample Comparison
  • 16. CNV calling in VarSeq  Reference samples used for normalization  Metrics - Z-score: number of standard deviations from reference sample mean - Ratio: sample coverage divided by reference sample mean - VAF: Variant Allele Frequency  For Gene Panels and Exomes - Probabilistic model used to call CNVs - Segmentation identifies large cytogenetic events  For Whole Genome Data - Targets segmented using Z-scores - Events called based on Z-score and Ratio thresholds
  • 18. VarSeq Suite  Variant annotation, filtering, and interpretation  Rich visualizations with GenomeBrowse built-in  Powerful GUI and command-line interfaces  Repeatable workflows VarSeq Simple Flexible Scalable
  • 19. Example Workflows  Illumina TruSight Cancer Sequencing Panel - Oncogenes & Tumor Suppressor Genes - Drug Targeting Information & Ongoing Clinical Trials  Exome Trio Workflow - Casual Variants Associated with Phenotype - Incidental Findings  Hereditary Risk Sequencing Panel - Comprehensive coverage of 175 genes with known associations to inherited cardiac conditions, cancers, and other inherited diseases.
  • 20. Sample Data for Cancer Gene Panels  Illumina TruSight Cancer Sequencing Panel - Comprehensive coverage of 154 genes designed to target exons of key tumor suppressor genes and frequently cited oncogenes. - BAM and VCF files for each replicate are available VSReports
  • 22. Sample Data for Exome Trio Workflows  NA1278 17-year old Caucasian Women - Admitted for Symptoms of Acute Gastroenteritis. - Serum testing revealed elevated pancreatic enzymes. - Genetic testing revealed Heterozygosity for CFTR gene mutation Δ F508  Incidental Findings NA12891NA12892 NA12878
  • 24. VSWarehouse – Variant Warehouse Server  A place to archive full VCFs of every sequenced sample  Centralized genomic data hosting, integration with other systems  Ask the Variant Warehouse: - Have I ever seen this variant in my previous test samples? - At what frequency? (counts as well) - Does this gene contain other rare variants in my cohort? - Did I provide a pathogenicity assessment for this variant? Has that changed? - Has ClinVar changed since that assessment was initially made? - Have I put this variant into a clinical report for any previous samples?
  • 25. Integration with VarSeq  VarSeq can “Export to Warehouse” - Create a new Project - Current project template is used - Add Variants to Existing (data only)  Annotate with Warehouse Counts - Allele / Genotype counts computed on warehouse variants (or other sources in template).  Remote Assessment Catalogs - Customize databases of variant classifications or internal flags like false-positives.  Remote Reports - Central versioning of report - Queryable database of all saved reports, with all data in form ready for EMR/LIMS integration
  • 26. VSWarehouse – Centralized Collaboration Project A Project B VSWarehouse Server Group A Group B Collaborators
  • 29. Questions or more info:  Email info@goldenhelix.com  Request an evaluation of the software at www.goldenhelix.com