bio-clinical-databases-tumor-mutational-burden

Calculate tumor mutational burden from somatic VCFs with panel-aware normalization.

Updated Aug 23, 2026
One-click install
npx skills add https://github.com/stellaromics/fast-bioinfo --skill bio-clinical-databases-tumor-mutational-burden
Or copy as Structured Prompt for Agent
Please help me install this Agent Skill.
Skill: bio-clinical-databases-tumor-mutational-burden
Source: https://github.com/stellaromics/fast-bioinfo/tree/main/.claude/agents/spatial-analysis/skills/bio-clinical-databases-tumor-mutational-burden
Command: npx skills add https://github.com/stellaromics/fast-bioinfo --skill bio-clinical-databases-tumor-mutational-burden

SYSTEM DOCUMENTATION & REQUIREMENTS

What problem does it solve?

Calculate tumor mutational burden from panel or WES data with proper normalization and clinical thresholds to support immunotherapy decision-making.

Core Features & Use Cases

  • Compute TMB from somatic VCFs with panel-aware normalization and panel-size references.
  • Support FDA-like thresholds for classification and optional MSI comparison.
  • Enable batch processing across cohorts and export summary tables.

Quick Start

Provide a somatic VCF path and a panel name to compute TMB with panel normalization and output the results.

Frequently Asked Questions about bio-clinical-databases-tumor-mutational-burden

High-intent search queries and answers about installing and using this skill.

FAQPage Schema
How do I calculate tumor mutational burden from somatic VCF files?

You compute tumor mutational burden by providing a somatic VCF path and a panel name to apply panel-aware normalization, variant filtering, and annotation checks to output clinically actionable TMB scores.

What is panel-aware normalization for TMB calculation?

Panel-aware normalization adjusts tumor mutational burden calculations by referencing panel sizes for targeted sequencing data like FoundationOne or MSK-IMPACT, ensuring accurate TMB scores for immunotherapy decisions.

Does this TMB calculation method support whole-exome sequencing data?

Yes, the TMB calculation supports both panel-based sequencing data like FoundationOne and MSK-IMPACT, as well as whole-exome sequencing, applying appropriate normalization and variant filtering for each data type.

Can I process multiple VCF files in a batch to compute TMB for a cohort?

Yes, you can batch process multiple somatic VCFs across cohorts to compute TMB and export the results into summary tables for downstream immunotherapy decision-making.

Do I need specific annotation formats for VCF parsing to calculate TMB?

The calculation references standard annotation formats like VEP or SnpEff during variant filtering and uses cyvcf2 for VCF parsing to accurately compute tumor mutational burden from your data.

How are FDA-like thresholds used to classify TMB results?

FDA-like thresholds are applied to classify the normalized tumor mutational burden scores, providing clinical context to support immunotherapy decision-making and optional MSI comparison.