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Table 1 Main challenges. This table presents interviewees’ answers to the following question: “what would you say is the main challenge for clinical exome sequencing to succeed in your country/province?”

From: Clinical exome sequencing in France and Quebec: what are the challenges? What does the future hold?

 

France

Quebec

Cancer

Principal Investigator

Managing the complexity of the data and of cancer

Give targeted molecules identified through WES to patients

Clinician

Data analysis

Data interpretation

Bioinformatician

More rapid and efficient data analysis process

Standardized use of analysis software and pipelines

Head of biochemistry lab

Standard clinical analysis of exome data

 

Rare Diseases

Principal Investigator

Education of practitioners to genomics

Gather support from all relevant stakeholders to enable the implementation of the technology in the public healthcare system

Clinician

Education of biologists and clinicians who participate to data analysis and interpretation

Time and availability of qualified analysis to interpret the flow of data.

Researcher

 

Variants clinical interpretation

Bioinformatician

Challenges linked to the bioinformatician profession, interdisciplinary and at crossroads between biology and computer science

Standardized bioinformatic pipeline for clinical data analysis. More investment in required storage and processing infrastructure