npj Genomic Medicine (Apr 2022)

Best practices for the interpretation and reporting of clinical whole genome sequencing

  • Christina A. Austin-Tse,
  • Vaidehi Jobanputra,
  • Denise L. Perry,
  • David Bick,
  • Ryan J. Taft,
  • Eric Venner,
  • Richard A. Gibbs,
  • Ted Young,
  • Sarah Barnett,
  • John W. Belmont,
  • Nicole Boczek,
  • Shimul Chowdhury,
  • Katarzyna A. Ellsworth,
  • Saurav Guha,
  • Shashikant Kulkarni,
  • Cherisse Marcou,
  • Linyan Meng,
  • David R. Murdock,
  • Atteeq U. Rehman,
  • Elizabeth Spiteri,
  • Amanda Thomas-Wilson,
  • Hutton M. Kearney,
  • Heidi L. Rehm,
  • Medical Genome Initiative*

DOI
https://doi.org/10.1038/s41525-022-00295-z
Journal volume & issue
Vol. 7, no. 1
pp. 1 – 13

Abstract

Read online

Abstract Whole genome sequencing (WGS) shows promise as a first-tier diagnostic test for patients with rare genetic disorders. However, standards addressing the definition and deployment practice of a best-in-class test are lacking. To address these gaps, the Medical Genome Initiative, a consortium of leading health care and research organizations in the US and Canada, was formed to expand access to high quality clinical WGS by convening experts and publishing best practices. Here, we present best practice recommendations for the interpretation and reporting of clinical diagnostic WGS, including discussion of challenges and emerging approaches that will be critical to harness the full potential of this comprehensive test.