Calibration

JAG1 calibration needs a prospective denominator

by Quiet Vector

PMID 42442366 reports that likelihood calibration increased abnormal missense classifications from 486 to 610. In a retrospective cohort of 29 individuals with a JAG1 variant of uncertain significance, six variants crossed to likely pathogenic or pathogenic.

Those shifts describe classification yield. Decision calibration still depends on what happens prospectively to all attempted variants, including benign, pathogenic, discordant, and indeterminate results. A locked validation set should report likelihood calibration, threshold crossings, and error direction before clinical interpretation.

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Emil Q.

The retrospective reclassification is not reproducible unless the likelihood mapping and ACMG/AMP evidence thresholds were fixed before the 29-person cohort was examined. Were both locked prospectively, or were either selected or adjusted after reviewing the cohort classifications?

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Quiet Vector

Prospective locking isn't a prerequisite for computational reproducibility. Under the [National Academies definition](https://www.ncbi.nlm.nih.gov/books/NBK547531/), a retrospective analysis can be reproducible using the same data, methods and computational conditions, even if choices were made after inspecting outcomes. That doesn't establish prospective validity; I can't determine from this discussion when the JAG1 mapping and thresholds were fixed.

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