RNA Output

Refer to RNA Analysis Methods for more information.

Splice Variant VCF

The splice variant VCF contains all candidate splice variants targeted by the analysis panel identified by the RNA analysis pipeline. You can apply the following filters for each variant call:

Filter Name	Description
LowQ	Splice variant score < passing quality score threshold value of 1.
PASS	Splice variant score ≥ passing quality score threshold value of 1.
LowUniqueAlignments	All splice junction supporting reads map to a unique genomic interval near at least one of the two splice sites.

Refer to the headers in the output for more information about each column.

Splice Variant Annotated JSON

If available, each splice variant is annotated using the Illumina Annotation Engine. The following information is captured in the JSON:

• HGNC Gene

• Transcript

• Exons

• Introns

• Canonical

• Consequence

All Fusions CSV

The all fusions CSV file contains all candidate fusions identified by the DRAGEN RNA pipeline. Two output columns in the file describe the candidate fusions: Filter and KeepFusion.

The following table describes the semicolon-separated output found in the Filter columns. The output is either a confidence filter or information only as indicated. If none of the confidence filters are triggered, the Filter column contains the output PASS, else it contains the output FAIL.

Filter Column Output

Filter	Filter Type	Description
DOUBLE_BROKEN_EXON	Confidence filter	If both breakpoints are distant from annotated exon boundaries, the number of supporting reads do not satisfy a high threshold requirement (≥ 10 supporting reads).
LOW_MAPQ	Confidence filter	All fusion supporting read alignments at either of the breakpoints have MAPQ < 20.
LOW_UNIQUE_ALIGNMENTS	Confidence filter	All fusion supporting read alignments map to a unique genomic interval at either of the breakpoints.
LOW_SCORE	Confidence filter	The fusion candidate has probabilistic score as determined by the features of the candidate.
MIN_SUPPORT	Confidence filter	The fusion candidate has very few fusion supporting reads (< 5 supporting read pairs).
READ_THROUGH	Confidence filter	The breakpoints are cis neighbors (< 200 kbp) on the reference genome.
ANCHOR_SUPPORT	Information only	Read alignments of fusion supporting reads are not long enough (12 bp) at either of the two breakpoints.
HOMOLOGOUS	Information only	The candidate is likely a false candidate generated because the two genes involved have high gene homology.
LOW_ALT_TO_REF	Information only	The number of fusion supporting reads is < 1% of the number of reads supporting the reference transcript at either of the two breakpoints.
LOW_GENE_COVERAGE	Information only	Each breakpoint in an enriched gene has fewer than 125 bp with nonzero read coverage.
NO_COMPLETE_SPLIT_READS	Confidence filter	For every fusion-supporting split read, the total number of aligned bases across two breakpoints is less 60% of the read length.
UNENRICHED_GENE	Confidence filter	Neither of the two parent genes is in the enrichment panel.

The KeepFusion column of the output has a value of TRUE when none of the confidence filters are triggered.

Refer to the headers in the output for more information about each column.

Fusion Columns

Fusion Object Field	Source
Gene A	The gene associated with the A side of the fusion. A semicolon delimited list is used for multiple genes.
Gene B	The gene associated with the B side of the fusion. A semicolon delimited list is used for multiple genes.
Gene A Breakpoint	[Information only] The chromosome and offset of the Gene A side of the fusion.
Gene A Location	Location of the breakpoint within Gene A: - IntactExon—Matches exon boundary - BrokenExon—Inside an exon - Intronic—Within an intron - Intergenic—No gene overlap (currently excluded) If multiple genes are in Gene A, then semicolon separated list of locations. This column is used internally to identify genes to report when a breakpoint occurs in a region overlapping multiple genes. Occasionally, additional values are listed for genes that were excluded from the GeneA list.
Gene A Sense	Boolean indicating whether left/right breakpoint order suggests fusion transcript is in the same sense of Gene A. If multiple genes are in Gene A, then semicolon separated list of bools.
Gene A Strand	Strand of Gene A, + for forward, - for reverse.
Gene B Breakpoint	[Information only] The chromosome and offset of the Gene B side of the fusion.
Gene B Location	Location of the breakpoint within Gene B: - IntactExon—Matches exon boundary - BrokenExon—Inside an exon - Intronic—Within an intron - Intergenic—No gene overlap (currently excluded) If multiple genes in Gene B, then semicolon separated list of locations. This column is used internally to identify genes to report when a breakpoint occurs in a region overlapping multiple genes. Occasionally, additional values are listed for genes that were excluded from the GeneB list.
Gene B Sense	Boolean indicating whether left/right breakpoint order suggests fusion transcript is in the same sense of Gene B. If multiple genes are in Gene B, then semicolon separated list of bools.
Gene B Strand	Strand of Gene B, + for forward, - for reverse.
Score	The quality of fusion as determined by DRAGEN server.
Filter	The filter associated with the fusion as determined by the respective caller. Results from different callers are not equivalent.
Ref A Dedup	Gene A uniquely mapping reads paired across or split by the junction. Does not support fusion. Duplicate reads are not included.
Ref B Dedup	Gene B uniquely mapping reads paired across or split by the junction. Does not support fusion. Duplicate reads are not included.
Alt Split Dedup	Uniquely mapping reads split by the junction. Supports fusion. Duplicate reads are not included.
Alt Pair Dedup	Uniquely mapping reads paired across junction. Supports fusion. Duplicate reads are not included.
KeepFusion	The determination whether the fusion should be kept or dropped from the list of fusions.
Fusion Directionality Known	Whether fusion directionality is known and indicated by gene order.

When using Microsoft Excel to view this report, genes that are convertible to dates (such as MARCH1 automatically convert to dd-mm format (1 Mar) by Excel. The following are fusion allow list genes:

• ABL1

• AKT3

• ALK

• AR

• AXL

• BCL2

• BRAF

• BRCA1

• BRCA2

• CDK4

• CSF1R

• EGFR

• EML4

• ERBB2

• ERG

• ESR1

• ETS1

• ETV1

• ETV4

• ETV5

• EWSR1

• FGFR1

• FGFR2

• FGFR3

• FGFR4

• FLI1

• FLT1

• FLT3

• JAK2

• KDR

• KIF5B

• KIT

• KMT2A

• MET

• MLLT3

• MSH2

• MYC

• NOTCH1

• NOTCH2

• NOTCH3

• NRG1

• NTRK1

• NTRK2

• NTRK3

• PAX3

• PAX7

• PDGFRA

• PDGFRB

• PIK3CA

• PPARG

• RAF1

• RET

• ROS1

• RPS6KB1

• TMPRSS2