Evidence map›Paper›PMID 37864096›Full record

ArticleNPJ precision oncology2023

Multicentric pilot study to standardize clinical whole exome sequencing (WES) for cancer patients.

Michael Menzel, Stephan Ossowski, Sebastian Kral, Patrick Metzger, Peter Horak, Ralf Marienfeld, Melanie Boerries, Steffen Wolter, Markus Ball, Olaf Neumann and 34 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 29 citations in OpenAlex.

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  12. Individualized Neoantigen-Directed Melanoma Therapy.American journal of clinical dermatology · 2025
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  20. [Molecular pathological analysis through the ages].Pathologie (Heidelberg, Germany) · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors at 7 institutions in 2 countries.

Michael MenzelInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4129-4741
Stephan Ossowski *Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Sebastian Kral *Institute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0009-0007-8570-550X
Patrick Metzger *Center for Personalized Medicine (ZPM), Freiburg, Germany.ORCID http://orcid.org/0000-0002-2451-1943
Peter Horak *Center for Personalized Medicine (ZPM), Heidelberg, Germany.ORCID http://orcid.org/0000-0003-4536-9306
Ralf Marienfeld *Institute of Pathology, University Hospital Ulm, Ulm, Germany.
Melanie BoerriesCenter for Personalized Medicine (ZPM), Freiburg, Germany.ORCID http://orcid.org/0000-0002-3670-0602
Steffen WolterInstitute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0009-0005-6187-3790
Markus BallInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2312-8360
Olaf NeumannInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-2684-9187
Sorin Armeanu-EbingerInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Christopher SchroederInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-9283-3012
Uta MatysiakInstitute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany.
Hannah GoldschmidInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Vincent SchippergesCenter for Personalized Medicine (ZPM), Freiburg, Germany.
Axel FürstbergerInstitute of Pathology, University Hospital Ulm, Ulm, Germany.ORCID http://orcid.org/0000-0001-6907-9077
Michael AllgäuerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Timo EberhardtInstitute of Pathology, University Hospital Ulm, Ulm, Germany.
Jakob NiewöhnerInstitute of Pathology, University Hospital Ulm, Ulm, Germany.
Andreas BlaumeiserCenter for Personalized Medicine (ZPM), Freiburg, Germany.
Carolin PloegerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Tobias Bernd HaackInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Timothy Kwang Yong TayInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Olga KelemenInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Thomas PauliCenter for Personalized Medicine (ZPM), Freiburg, Germany.
Martina KirchnerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Klaus KluckInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0009-0001-1000-8052
Alexander OttInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.
Marcus RennerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Jakob AdmardInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0003-0466-582X
Axel GschwindInstitute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0003-1181-0335
Silke LassmannInstitute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany.
Hans KestlerInstitute of Pathology, University Hospital Ulm, Ulm, Germany.
Falko FendInstitute of Pathology and Neuropathology, University Hospital Tübingen, Tübingen, Germany.ORCID http://orcid.org/0000-0002-5496-293X
Anna Lena IllertDepartment of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79085, Freiburg, Germany.
Martin WernerInstitute for Surgical Pathology, Medical Center, University of Freiburg, Freiburg, Germany.
Peter MöllerInstitute of Pathology, University Hospital Ulm, Ulm, Germany.
Thomas Theodor Werner SeufferleinCenter for Personalized Medicine (ZPM), Ulm, Germany.
Nisar MalekCenter for Personalized Medicine (ZPM), Tübingen, Germany.
Peter SchirmacherInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.
Stefan FröhlingCenter for Personalized Medicine (ZPM), Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7907-4595
Daniel KazdalInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8187-3281
Jan BudcziesInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. jan.budczies@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-6668-5327
Albrecht StenzingerInstitute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. albrecht.stenzinger@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0003-1001-103X
University of Freiburg · DEHeidelberg University · DEUniversity of Tübingen · DEGerman Cancer Research Center · DEUniversity Hospital Ulm · DEUniversität Ulm · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A growing number of druggable targets and national initiatives for precision oncology necessitate broad genomic profiling for many cancer patients. Whole exome sequencing (WES) offers unbiased analysis of the entire coding sequence, segmentation-based detection of copy number alterations (CNAs), and accurate determination of complex biomarkers including tumor mutational burden (TMB), homologous recombination repair deficiency (HRD), and microsatellite instability (MSI). To assess the inter-institution variability of clinical WES, we performed a comparative pilot study between German Centers of Personalized Medicine (ZPMs) from five participating institutions. Tumor and matched normal DNA from 30 patients were analyzed using custom sequencing protocols and bioinformatic pipelines. Calling of somatic variants was highly concordant with a positive percentage agreement (PPA) between 91 and 95% and a positive predictive value (PPV) between 82 and 95% compared with a three-institution consensus and full agreement for 16 of 17 druggable targets. Explanations for deviations included low VAF or coverage, differing annotations, and different filter protocols. CNAs showed overall agreement in 76% for the genomic sequence with high wet-lab variability. Complex biomarkers correlated strongly between institutions (HRD: 0.79-1, TMB: 0.97-0.99) and all institutions agreed on microsatellite instability. This study will contribute to the development of quality control frameworks for comprehensive genomic profiling and sheds light onto parameters that require stringent standardization.

Identifiers

PMID37864096
PMCPMC10589320
OpenAlexW4387836889

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.