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Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)

Karius mcfDNA-Seq results interpreted with: post-hoc 140 molecules per microlitre cut-off.

1 evaluation · 4 results

Overview

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Consult the linked sources for architecture or protocol details. Missing evidence is not evidence of a missing capability.

Evaluations and results

1 evaluation · 4 results. Different protocols are not a single leaderboard.

Protocol: Predictive specificity in control samples (Wolf et al. 2026 Table 3) · Dataset: Control plasma samples without fever or infection (Wolf et al. 2026)

Sorted by Specificity (predictive specificity; any bacterium or yeast (Burkholderia, moulds, viruses and parasites excluded); control samples without fever or infection within 7 days) (higher is better). The best value in each column is highlighted. Decimals are rounded for display; each value links to the printed value and its source.

Tested configurationSpecificity (predictive specificity; any bacterium or yeast (Burkholderia, moulds, viruses and parasites excluded); control samples without fever or infection within 7 days)Specificity (predictive specificity; common bloodstream infection pathogens; control samples without fever or infection within 7 days)True negatives (negative control samples; any bacterium or yeast (Burkholderia, moulds, viruses and parasites excluded); control samples without fever or infection within 7 days)True negatives (negative control samples; common bloodstream infection pathogens; control samples without fever or infection within 7 days)
Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)Evaluation90·7%93·8%147152
All 4 result rows with coverage, uncertainty and sources
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Exact evaluated configurations and original reported results
Tested configurationProtocol and datasetFindingEvidence and details
Configuration: Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)Protocol: Predictive specificity in control samples (Wolf et al. 2026 Table 3)
Dataset: Control plasma samples without fever or infection (Wolf et al. 2026)
147 True negatives (negative control samples; any bacterium or yeast (Burkholderia, moulds, viruses and parasites excluded); control samples without fever or infection within 7 days)
count · higher

Uncertainty: Not applicable: Count

Coverage: Not reported scored / Not reported eligible

Author-reported evaluation · Source checked
Methods, coverage and source

Karius mcfDNA-Seq (post-hoc 140 molecules per microlitre cut-off) on Predictive specificity in control samples (Wolf et al. 2026 Table 3)

dna-pathogen-20261011-wolf2026-protocol-specificity

Aggregation: Not reported

Predicting bloodstream infection by plasma cell-free metagenomic sequencing: a prospective cohort study · Table 3, group 'Any organism*', row '≥140 molecules per μL†', column 'Negative (n=162)'
Configuration: Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)Protocol: Predictive specificity in control samples (Wolf et al. 2026 Table 3)
Dataset: Control plasma samples without fever or infection (Wolf et al. 2026)
90·7% Specificity (predictive specificity; any bacterium or yeast (Burkholderia, moulds, viruses and parasites excluded); control samples without fever or infection within 7 days)
percent · higher

Uncertainty: 95% CI 85.2 to 94.7

Coverage: Not reported scored / Not reported eligible

Author-reported evaluation · Source checked
Methods, coverage and source

Karius mcfDNA-Seq (post-hoc 140 molecules per microlitre cut-off) on Predictive specificity in control samples (Wolf et al. 2026 Table 3)

dna-pathogen-20261011-wolf2026-protocol-specificity

Aggregation: Not reported

Predicting bloodstream infection by plasma cell-free metagenomic sequencing: a prospective cohort study · Table 3, group 'Any organism*', row '≥140 molecules per μL†', column 'Specificity'
Configuration: Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)Protocol: Predictive specificity in control samples (Wolf et al. 2026 Table 3)
Dataset: Control plasma samples without fever or infection (Wolf et al. 2026)
152 True negatives (negative control samples; common bloodstream infection pathogens; control samples without fever or infection within 7 days)
count · higher

Uncertainty: Not applicable: Count

Coverage: Not reported scored / Not reported eligible

Author-reported evaluation · Source checked
Methods, coverage and source

Karius mcfDNA-Seq (post-hoc 140 molecules per microlitre cut-off) on Predictive specificity in control samples (Wolf et al. 2026 Table 3)

dna-pathogen-20261011-wolf2026-protocol-specificity

Aggregation: Not reported

Predicting bloodstream infection by plasma cell-free metagenomic sequencing: a prospective cohort study · Table 3, group 'Common bloodstream infection pathogen‡', row '≥140 molecules per μL†', column 'Negative (n=162)'
Configuration: Karius mcfDNA-Seq, post-hoc 140 molecules per microlitre cut-off (Wolf et al. 2026)Protocol: Predictive specificity in control samples (Wolf et al. 2026 Table 3)
Dataset: Control plasma samples without fever or infection (Wolf et al. 2026)
93·8% Specificity (predictive specificity; common bloodstream infection pathogens; control samples without fever or infection within 7 days)
percent · higher

Uncertainty: 95% CI 88.9 to 97.0

Coverage: Not reported scored / Not reported eligible

Author-reported evaluation · Source checked
Methods, coverage and source

Karius mcfDNA-Seq (post-hoc 140 molecules per microlitre cut-off) on Predictive specificity in control samples (Wolf et al. 2026 Table 3)

dna-pathogen-20261011-wolf2026-protocol-specificity

Aggregation: Not reported

Predicting bloodstream infection by plasma cell-free metagenomic sequencing: a prospective cohort study · Table 3, group 'Common bloodstream infection pathogen‡', row '≥140 molecules per μL†', column 'Specificity'

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Release 2026-10-22-1b7cf027e4f6 · Record review: source checked

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Technical metadata and extraction receipts

Stable ID: dna-pathogen-20261011-wolf2026-config-cutoff140

areas
microbes-communities
contexts
clinical_research
method types
conventional_pipeline
reported name
Post-hoc 140 molecules per microlitre cut-off
parameters
Only organisms reported at 140 molecules per microlitre of plasma or higher count as positive; cut-off chosen post hoc by maximising Youden's index on the consolidated data (AUC 0.73).
foundation model eligible
false
access reuse
Commercial laboratory test; testing was provided by Karius as non-financial support
source locator
Methods 'Statistical analysis' paragraphs 3 and 5; Table 3 footnote
missing metadata
version: reason: unreported; note: No assay, pipeline or database version is given in the inspected text
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