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Layer 10 of 21 · Tumour behaviour

RNA Expression & Signatures Expression patterns and signatures.

DNA shows which genes are altered; RNA shows which genes are being actively used. RNA data can support the detection of gene fusions and expression-based signatures. This layer is intended to summarise whatever RNA information the selected pathway provides.

Why it's needed

What RNA expression information or signatures are available and relevant?

Expression-level and fusion information, with the assay that produced it.

What it draws on

1 of 8 evidence domains.

Molecular & genomicRNA data, where the pathway generates them. Twin Blood as 'DNA and RNA together'.

What it produces

Expression and signature summaries and their evidence context.

Describe the RNA expression and signature analysis included in the validated workflow.

Why it's essential

Layer 10 of 21.

Supports fusion detection for AccessMatch and expression context for PhenoMap, ImmuneLens and the microenvironment layer.

1 · What it does

What RNA Expression & Signatures does

DNA shows which genes are altered; RNA shows which genes are being actively used. RNA data can support the detection of gene fusions and expression-based signatures. This layer is intended to summarise whatever RNA information the selected pathway provides.

2 · Scientific question

The question it addresses

What RNA expression information or signatures are available and relevant?

Intended function

Describe the RNA expression and signature analysis included in the validated workflow.

3 · Data inputs and required context

What it draws on

  • 01 Molecular & genomic

RNA data, where the pathway generates them. Twin Blood as 'DNA and RNA together'.

4 · Scientific basis

The science behind it

Scientific basis

RNA sequencing and targeted RNA assays are used to detect fusion transcripts, splice variants and expression levels. Expression signatures depend on the assay and on how the data are normalised.

5 · Output and evidence sources

What it produces

Main output

Expression and signature summaries and their evidence context.

Output type

  • Assay-derived finding. Reported from laboratory sequencing data, subject to assay scope and quality.
  • Computational inference. Estimated by analysis of available data rather than measured directly.

6 · Why it\u2019s essential

How it powers the Twin

Supports fusion detection for AccessMatch and expression context for PhenoMap, ImmuneLens and the microenvironment layer.

Report section

Capability

Connect

Relate molecular, imaging, immune and patient information where available.

7 · Why it\u2019s needed

What it changes — for doctors, patients and researchers

Clinicians

Expression-level and fusion information, with the assay that produced it.

Doctor & Clinical Team

Patients & caregivers

Explains why some tests look at RNA as well as DNA.

Patient & Caregiver

Researchers

Expression signatures for translational analysis.

Industry & Research

8 · Dependencies and limitations

Limitations

  • Twin Blood includes RNA; for other routes, RNA is included where the chosen assay supports it.

9 · Review and uncertainty

How the output is handled

Output status

An AI-assisted analytical output presented as structured findings for clinician review. It becomes part of a report only after the treating oncologist has reviewed and signed it.

How uncertainty is communicated

Expression findings state the assay and normalisation; routes without RNA show the layer as not applicable.

10 · Claim boundary

What this layer does not establish

Without RNA input, this layer produces no expression findings.

The treating oncologist owns every decision. Every Twin report is reviewed and signed by the treating oncologist, then taken to KPCIRC's Molecular Tumour Board.

KPCIRC sign-off process

Continue the journey

Longitudinal monitoring

Every change goes in.

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