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A mutation search involves reading large parts of the gene, whereas a predictive or direct gene test is an analysis for a known mutation in a family.

BOADICEA

The CanRisk Tool distinguishes between these two types of genetic test on the basis of their sensitivity.

In particular, CanRisk assumes by default that

For example, the risk models used by the CanRisk Tool assume that, by default, mutation searches only detect 90% of BRCA1

mutations and 90% of BRCA2

mutations, whereas direct gene tests are assumed to be 100% sensitive. As a result, the

model

tool allows for the possibility that a mutation has been missed by a mutation search. 

The CanRisk tool includes model parameters in

You can specify different mutation search sensitivities prior to running a risk calculation in the 'Advanced Options' menu in the 'Family History' section

that enables you to specify different BRCA mutation search sensitivities prior to running a risk calculation.