Published / Real-world performance
A Methodological Framework for Real-World Performance Studies of Clinical Variant Classification Platforms at Early Organizational Stages
A route between informal internal testing and formal regulatory adjudication, demonstrated on 97 scored cases.
Early-stage variant classification platforms need a performance method that is stronger than an internal comparison but feasible before a multi-adjudicator regulatory study. A single peer laboratory is difficult to treat as ground truth when qualified laboratories can disagree. Formal adjudication, however, requires people and quality infrastructure that a small developer may not yet have.
This is a methodological proposal with a single-platform demonstration. It uses one peer comparator, develops the taxonomy on the same cohorts used to illustrate it and carries conflicts of interest that require independent replication.
14 September 2026
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