2022
DOI: 10.1101/2022.09.09.22279746
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3-hour genome sequencing and targeted analysis to rapidly assess genetic risk

Abstract: Rapid genetic testing in the critical care setting enables targeted evaluations, directs therapies, and helps families and care providers make informed decisions about goals of care. We tested whether we could perform ultra-rapid assessment of genetic risk for a Mendelian condition, based on information from an affected sibling, in a newborn via whole-genome sequencing using the Oxford Nanopore platform. By optimization of the DNA extraction and library preparation steps paired with targeted analysis, we were … Show more

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Cited by 14 publications
(17 citation statements)
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“…During large scale nanopore sequencing projects, basecalling is typically performed on external HPC or cloud computer environments, rather than the ONT sequencing device itself 3,5,7,8 . This is relatively slow, computationally expensive and is therefore a barrier to more widespread adoption of nanopore sequencing.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…During large scale nanopore sequencing projects, basecalling is typically performed on external HPC or cloud computer environments, rather than the ONT sequencing device itself 3,5,7,8 . This is relatively slow, computationally expensive and is therefore a barrier to more widespread adoption of nanopore sequencing.…”
Section: Discussionmentioning
confidence: 99%
“…However, in our experience, the PromethION's attached compute tower (PRO-PRCV100) is unable to execute live high-accuracy basecalling on more than ~8-10 flow-cells in parallel. Therefore, to realise even a fraction of the machine's theoretical sequencing throughput, the user must export the raw data and perform basecalling externally on their own high-performance computer (HPC) or cloud environments 3,5,7,8 .…”
Section: Introductionmentioning
confidence: 99%
“…Longer reads are also necessary to generate high‐quality genome assemblies and phase variants, and to resolve complex SVs at the nucleotide level [114]. Novel informatic platforms also enable faster turnaround times that are important in the intensive care setting [115].…”
Section: What Is Next?mentioning
confidence: 99%
“…However, variant callers based on deep neural networks (DNN) can produce highly accurate variant calls with long-reads [16,21,22]. Recently, high-throughput long-read sequencing paired with accurate variant calling has demonstrated fastest genetic diagnosis in clinical setting [23,24,25]. Also accurate long-reads shows higher diagnosis rate among individuals who were previously undiagnosed [26,27].…”
Section: Introductionmentioning
confidence: 99%