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    Abstract:
    Metagenomic high-throughput sequencing (mHTS) is a hypothesis-free, universal pathogen detection technique for determination of the DNA/RNA sequences in a variety of sample types and infectious syndromes. mHTS is still in its early stages of translating into clinical application. To support the development, implementation and standardization of mHTS procedures for virus diagnostics, the European Society for Clinical Virology (ESCV) Network on Next-Generation Sequencing (ENNGS) has been established. The aim of ENNGS is to bring together professionals involved in mHTS for viral diagnostics to share methodologies and experiences, and to develop application recommendations. This manuscript aims to provide practical recommendations for the wet lab procedures necessary for implementation of mHTS for virus diagnostics and to give recommendations for development and validation of laboratory methods, including mHTS quality assurance, control and quality assessment protocols.
    Metagenomic studies have dramatically expanded our knowledge of the microbial world. Furthermore, the amount of sample for sequencing has significantly increased with the development of high-throughput sequencing technologies. However, fully capturing all DNA sequences carried by every microorganism in the environment is still impossible. Therefore, estimating a reasonable and practical amount for sequencing to achieve the objectives is particularly necessary. In the present study, we introduce a novel method for estimating the required minimum amount for metagenomic sequencing for a given goal. We also calculated the genomic proportion of each operational taxonomic unit and the detection efficiency of a specific gene (we have used SSU rRNA gene as an example) based on a given amount for random metagenomic sequencing. The reasonable and practical estimated amount for sequencing in metagenomic studies will provide good reference information when applying high-throughput sequencing for a given goal.
    Citations (87)
    We review the various components of quality assurance (QA), including the role of a QA committee, stressing its interdisciplinary nature relative to radiation oncologists, medical physicists, dosimetrists, and radiation therapy technologists. Current standard of QA are reviewed for treatment machines, dosimetry instrumentation, treatment planning, treatment planning computer systems, brachytherapy, and external beam therapy. The latter area includes discussions on the importance of a peer review new patient planning conference, chart checking and film review.
    Radiation oncology
    Medical physicist
    External beam radiation
    Citations (4)
    Introduction: Positron emission tomography combined with computed tomography (PET‐CT) provides both functional and anatomical images of high quality noninvasively. Recently, increase in the use of PET‐CT for diagnosis of the cancer and the planning of radiation therapy accrues the demands for accurate evaluation of system performance and well designed programs of quality assurance. We analyzed the quality assurance practice in the PET‐CT laboratories and developed the practical guidelines of PET‐CT quality assurance. Methods: The survey questionnaire were send to 60 PET‐CT laboratories and the data of quality assurance practice were collected. We reviewed the surveyed data and the quality assurance systems of foreign counties and made the practical guidelines of PET‐CT quality assurance. Results: The developed practical guidelines of PET‐CT quality assurance consists of practical items of performance evaluation and protocols for quality assurance. For 30 PET‐CT laboratories, we are investigating the usefulness of the new guidelines. Conclusions: We developed the new practical guidelines of PET‐CT quality assurance. These guidelines could be used to guarantee the confidence of PET‐CT imaging as a quality assurance keeper.
    QA/QC
    PET-CT
    Citations (2)
    In every radiation therapy department, quality assurance procedures performed on treatment units are a necessary portion of the department's daily routine. Technologists, given the necessary information and instruction, can perform these procedures under the auspices of the medical physicist.
    Medical physicist
    Medical radiation
    Citations (0)