Table 2 Key features of CardioClassifier

From: CardioClassifier: disease- and gene-specific computational decision support for clinical genome interpretation

Feature

Description

CardioClassifier

Alamut

InterVar

ClinGen pathogenicity calculator

Collates data from multiple sources

CardioClassifier retrieves data from multiple databases/resources including ExAC, ClinVar, ACGV, and dbNSFP as well as internally derived data

Takes a standard VCF or variant details as input and annotates with effect on sequence and protein

The Ensembl Variant Effect Predictor is used to annotate all variants according to protein consequence

ACMG/AMP rules parameterized through expert curation according to specific gene and disease

We have developed expertly curated gene- and disease-specific thresholds for 14 computational ACMG/AMP criteria in addition to 3 specifically created ICC-specific rules

Computational data used to activate ACMG/AMP rules

Each variant is automatically assessed against 17 computational criteria

Interactive refinement of rules and addition of case-level data

Users can interactively add or remove evidence pertaining to any of the ACMG/AMP rules

Integration of automated annotations and case-level interactive additions to calculate a classification according to the ACMG logic

The logic from the ACMG/AMP guidelines is used to provide a final classification

Evidence used to generate classification displayed

The thresholds and data used in CardioClassifier is transparent and printed on the report

Knowledge base of case-level annotations

We have created a “knowledge base” whereby manually curated case-level evidence is stored and used to populate variant reports

  1. ACGV, Atlas of Cardiac Genetic Variation; ACMG/AMP, American College of Medical Genetics and Genomics/Association for Molecular Pathology; ICC, inherited cardiac condition.
  2. Included are details of each key feature and which of three currently available tools (Alamut, InterVar, and the ClinGen pathogenicity calculator) also includes each feature.