The Association for Molecular Pathology (AMP) has published  a report that was designed to assess clinical adoption, identify classification  inconsistencies, and evaluate implementation barriers for the 2017 report,  “Standards and Guidelines for the Interpretation and Reporting of Sequence  Variants in Cancer: A Joint Consensus Recommendation of the Association  for Molecular Pathology, American Society of Clinical Oncology, and College of  American Pathologists.” 
The AMP manuscript, “Assessments of Somatic Variant  Classification Using the AMP/ASCO/CAP Guidelines” was released online ahead of  publication in The Journal of Molecular Diagnostics.
To help standardize the interpretation and reporting of  sequence variants in cancer, the 2017 guidelines were developed by a panel of  experts and based on evidence from a comprehensive review of published  literature, empirical data, current laboratory practice surveys, feedback from  multiple public meetings, and professional experiences. The report  proposed a four-tiered system to categorize somatic sequence variations based  on their clinical significance in cancer diagnosis, prognosis, and/or  therapeutics:
   - Tier       1: Variants with strong clinical significance
    - Tier       2: Variants with potential clinical significance
    - Tier       3: Variants of unknown clinical significance
    - Tier       4: Variants deemed benign or likely benign
   
To read the full manuscript, please visit: https://doi.org/10.1016/j.jmoldx.2022.11.002.
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