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At PRISM 2025, Professor Alex Hoischen of Radboud University Medical Center discusses the limitations of current genomic tests for rare diseases, where over half of patients remain undiagnosed. He presents a case for potentially adopting HiFi long-read sequencing as a possible single, first-tier diagnostic test to address this significant challenge. Professor Hoischen highlights a critical gap in standard short-read sequencing, which often fails to detect structural variants, indels, and repeat expansions that constitute over 36% of genomic variation. This means the genetic cause of a patient's condition may be entirely missed by conventional methods. He outlines a three-step validation strategy using the PacBio Revio system—from testing known positive controls to prospective clinical utility studies—to build the evidence required for implementing a more comprehensive genomic analysis in a clinical setting. 00:00 Introduction & the rare disease challenge 02:38 The diagnostic gap in standard genomics 04:28 Why long-read sequencing is a necessary change 05:14 A 3-step strategy for clinical implementation Subscribe for more insights from PacBio: / @pacificbiosciences Learn more about PacBio at https://pacb.com/ Legal & Trademarks: Visit https://www.pacb.com/legal-and-tradem...