| Comparison: adaptation Reads mapping to the target genome as a percentage of reads on the run mapping to that genome > 0.037%, AND >= 2 target reads, replacing the main and ratio criteria; chosen after the validation results Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.adaptation Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: aggregation All targets in samples passing QC, or the stated subset Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.aggregation Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: budget Not reported Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | missing or unspecified No individual claim review recorded author reported Audit detailsField: attributes.comparison.budget Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: dataset version Validation set, 344 nasopharyngeal swabs Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.dataset_version Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: inputs RNA from nasopharyngeal swabs in viral transport medium Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.inputs Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: metric implementation Target-level sensitivity and specificity against routine multiplex PCR Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.metric_implementation Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: population Pathogen targets in the samples passing QC Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.population Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: protocol id rna-pathogen-20261011-sanderson2026-protocol-validation Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.protocol_id Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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| Comparison: split Validation set Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.comparison.split Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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Limitations2 values- Single laboratory workflow; the two configurations differ only in the bioinformatic detection criteria.
- Post-hoc: the alternative criterion was chosen after seeing the validation results, so its sensitivity and specificity are optimistic.
Context-only references | Clinical validation of a novel metagenomic nanopore sequencing method for detecting viral respiratory pathogens: diagnostic accuracy study Original source ↗ Results 'Validation Set: Diagnostic performance', 'Performance by pathogen' and 'Performance by viral load (Cn,Ct)' Version: medRxiv 10.64898/2026.02.06.26345651 v2, posted 2026-02-26; JATS XML Retrieved: 2026-10-11T21:38:13Z | not individually reviewed No individual claim review recorded author reported Audit detailsField: attributes.limitations Source artifact SHA-256: c0bc5c035742f53fe291e08b9d956102e102fd743a55de503f00bcaead36a7e2 Hash scope: Hash scope not separately documented; inspect source record Inspected artifact |
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