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To explain why we are only seeing such a small coverage increase, we need to turn to our good friend mathematics !

  • If a 3 copies state correspond to 60x of coverage.
  • we expect 2 copies at 40x
  • 1 copy at 20x
  • and 0 copy at 0X

But here the cellularity variable is missing. We estimated a cellularity of ~ 50% which mean that half reads observed in tumor come from the normal cells (30x). So if focus only on reads that really come from tumor cells we would expect:

  • If a 3 copies state correspond to 30x of coverage (60x - 30x of normal).
  • we expect 2 copies at 20x
  • 1 copy at 10x
  • and 0 copy at 0X

And now if we focus on all the read present in the tumor sample:

  • the 3 copies state corresponds to 30x of read from the tumor cells + 30x from normal cells = 60x.
  • the 2 copies state corresponds to 20x of read from the tumor cells + 30x from normal cells = 50x.
  • the 1 copy state corresponds to 10x of read from the tumor cells + 30x from normal cells = 40x.

Mathematics is the key !