Rishabh Jain
Rishabh Jain/X

Rishabh Jain: DNA vs RNA NGS – Music Sheet vs Orchestra

Rishabh Jain, Medical Oncologist at AIIMS, shared a post on X:

“DNA vs RNA NGS – Music sheet vs Orchestra!

DNA NGS = The Music sheet. Think of DNA as the music sheet — the written plan.

– Detects SNVs, indels, CNVs, MSI, TMB
– Finds hidden drivers (EGFR, BRCA, KRAS)
– Stable to relatively unchanging

But to Can’t confirm if the ‘music’ is being played.

RNA NGS = The Orchestra. RNA is the symphony in action — live performance.

– Shows gene expression in real time
– Best for fusions/splice events (ALK, NTRK, ROS1)
– Proof of function

But to Fragile samples, technically harder.

Take-home:

– DNA = plans on paper (what could be played)
– RNA = live concert (what is being played)

Combine both to capture the full concert of tumor biology.

Save this thread: next time you read an NGS report, ask – am I seeing the plans or the music?”

Rishabh Jain: DNA vs RNA NGS - Music Sheet vs Orchestra

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