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Table 2 Limit of detection, sensitivity, specificity and accuracy of ALK fusion detection with massive parallel sequencing (IonTorrent) and a probe-based assay (NanoString) determined using a cell line dilution series

From: RNA-based analysis of ALK fusions in non-small cell lung cancer cases showing IHC/FISH discordance

 

Massive Parallel Sequencing (MPS)

Probe-Based Assay

ALK 3′/5’ Imbalance

ALK Fusion

ALK 3′/5’ Imbalance

ALK Fusion

H2228 Cell Line Dilution in Palatine Tonsil Background

 100%

Uncertain

Yes

Yes

Yes

 50%

Uncertain

Yes

Yes

Yes

 30%

Uncertain

Yes

Yes

Yes

 10%

Uncertain

Yes

Yes

No

 5%

No

No

Yes

No

 1%

No

No

No

No

 0%

No

No

No

No

Assay Parameter

 Sensitivity

33.3%

66.7%

83.3%

50.0%

 Specificity

100%

100%

100%

100%

 NPV

20.0%

33.3%

50.0%

25.0%

 PPV

100%

100%

100%

100%

 Accuracy

42.9%

71.4%

85.7%

57.1%

  1. NPV negative predictive value, PPV positive predictive value