For the complete documentation index, see llms.txt. This page is also available as Markdown.

Results / Overview Tab

The Results tab is your command center for insights! It delivers a clear, high-level snapshot of the most critical findings - like variants, TMB, MSI, and GIS - so you can zero in on what matters most. You'll also spot any quality control alerts (think run performance, sample integrity, or gene coverage that needs a closer look) and track case interpretation progress at a glance - see which findings are already reviewed and which are waiting for your attention. Everything you need, all in one streamlined view!

Disease

This section displays the disease for the case.

Case Interpretation Progress

Track your progress with ease. This section shows exactly where you stand in reviewing case findings. A dynamic progress bar gives you instant visual feedback, while the toggle lets you switch between Needs Review and All to focus on what matters most. Stay in control and keep your workflow moving forward.

A finding is considered reviewed if it has been opened or has been automatically reported according to Report Automation.

Lab QC

This section gives you a quick, at-a-glance overview of key quality metrics under the Lab QC tab, including:

  • Metric - What's being measured

  • Value - The actual result

  • Status - Pass or fail

Want to customize what appears here? For details on configuring metrics and setting thresholds, check out Pipeline and QC Configuration.

Monitoring

Monitor tumor progression over time with a longitudinal view. Track MRD scores (eVAF), maximum somatic VAF, and individual monitored variant VAFs across related cases. Visualize trends with interactive plots displaying up to 50 cases per subject.

Select a variant to monitor by clicking the flag icon and selecting Monitor Variant.

Classification & Risk Stratification Prediction

For more information, refer to Classification & Risk Stratification Prediction.

Karyotype

Karyotype

The Karyotype section lets you provide detailed chromosomal information in ISCN format, supplementing sequencing results for Classification & Risk Stratification Prediction. Built-in validation ensures your entries are error-free, helping you catch and correct manual mistakes instantly.

Example:

Tumor Purity and Ploidy Metrics

Get a clear picture of your sample with Estimated Tumor Purity (%) and Estimated Tumor Ploidy. These metrics help you understand the complexity and composition of the tumor for interpretation.

Monitoring

This section displays a longitudinal plot of variant allele frequency (VAF) for variant detection cases and estimated variant allele frequency (eVAF) for MRD detection cases.

For variant detection cases, the max somatic VAF and VAF of each monitored variant is plotted for each case for the associated subject. If the given pipeline produces max somatic VAF that value is recorded, otherwise the maximum VAF among small variants with FILTER = PASS and Predicted Origin = Somatic is recorded instead. See Variant Grid Columns - Reported - Flags for details on how to monitor a variant for a subject.

For MRD detection cases, the eVAF (in PPM) is plotted for each case for the associated subject. Each data point is marked based on whether ctDNA was detected or not detected for that case.

Signatures

This section showcases the key biological markers that drive interpretation, all sourced from secondary analysis files and displayed for quick reference.

For variant detection cases:

  • Tumor Mutational Burden (TMB) - Displays the TMB in mut/MB, along with TMB-Low or TMB-High status.

  • Microsatellite Instability (MSI) - Displays the MSI as percent unstable sites (e.g., TSO 500) or sumJSD (e.g., TSO 500 ctDNA), plus MS-Stable and MSI-High statuses.

  • Genomic Instability Score (GIS) - Displays the GIS value, along with GIS-Low and GIS-High statuses.

For whole genome T/N cases, we take it a step further: related mutations signatures are displayed right next to each relevant biomarker - for example, ID1 and ID2 signatures appear alongside MSI - giving you deeper insight into the underlying genomic patterns.

Want to fine-tune biomarker thresholds? Head to Disease Configuration.

For MRD fingerprint cases: the timestamp and status of the MRD fingerprint are shown:

For MRD detection cases: the MRD score, eVAF, and ctDNA detected/not detected status are shown:

If the associated MRD fingerprint case for an MRD detection case is ingested in the system a link to the MRD fingerprint is provided.

Ready to dive deeper? Click Review or View to explore biomarker details. For step-by-step guidance, see Interpret a Biomarker.

Disease Genes

This section brings together disease-specific genes, coverage details, and findings for a complete picture.

For more information on how to set up disease-specific genes, refer to Disease Configuration.

Gene Coverage

Gene coverage visualization shows the following data in a linear plot:

  • Transcript exons and introns (preferred, MANE Select RefSeq, or RefSeq Select transcript)

  • Coverage depth on the y-axis (e.g., 50X) along with thresholds

  • Hotspots from Cancer Hotspots database

  • Variants that pass test filters

When coverage is below the threshold, the specific region is reported automatically as having low coverage, along with any hotspots that fall within the region, and the gene is not reported as a pertinent negative.

Findings

Findings - such as variants, HLA alleles, biomarkers (e.g., IHC, FISH) - for each gene are shown with a summary of Biological Classification and Actionability from knowledge bases, such as OncoKB, CKB, CIViC, and MyKB.

To interpret variants from the Overview tab, select Review or View. For more information, refer to Interpret a Biomarker.

Gene expression is also shown in transcripts per million (TPM) if provided by the secondary analysis pipeline (e.g., DRAGEN RNA), which we will enable interpretation of in a future release!

Other Findings

Other variants passing test filters but do not appear in a disease-specific gene are displayed in the Other Findings section.

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