Low-Quality FFPE Mode

Low-quality FFPE mode is a specialized setting designed for formalin-fixed paraffin-embedded (FFPE) samples with significant DNA degradation, indicated by a DNA Integrity Number (DIN) score of 2 or lower.

Why FFPE Samples Need Special Handling

FFPE preservation introduces chemical modifications to DNA that can be mistaken for true somatic variants and inflate false-positive rates:

  • Deamination events (C>T and G>A changes)

  • Chimeric reads from cross-linked DNA fragments

What Low-Quality FFPE Mode Does

When you enable this setting, the pipeline activates additional filtering steps that specifically target FFPE-induced artifacts, increasing the specificity of variant calls. Note that these additional filters may slightly decrease sensitivity for borderline variant calls.

How to Decide

Sample profile
Recommended mode

FFPE with DIN > 2

Standard mode

FFPE with DIN ≤ 2

Low-quality FFPE mode

Fresh frozen, blood, cfDNA

Standard mode

You can compare results by running the same sample in both modes.

Tip. If you are unsure, run the sample in standard mode first and check the Supplementary (chimeric) alignments QC metric. If it exceeds 1–2%, rerun in low-quality FFPE mode. See Key QC Metrics.

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