RT Journal Article SR Electronic T1 Systematic assessment of structural variant annotation tools for genomic interpretation JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202402949 DO 10.26508/lsa.202402949 VO 8 IS 3 A1 Liu, Xuanshi A1 Gu, Lei A1 Hao, Chanjuan A1 Xu, Wenjian A1 Leng, Fei A1 Zhang, Peng A1 Li, Wei YR 2025 UL https://www.life-science-alliance.org/content/8/3/e202402949.abstract AB Structural variants (SVs) over 50 base pairs play a significant role in phenotypic diversity and are associated with various diseases, but their analysis is complex and resource-intensive. Numerous computational tools have been developed for SV prioritization, yet their effectiveness in biomedicine remains unclear. Here we benchmarked eight widely used SV prioritization tools, categorized into knowledge-driven (AnnotSV, ClassifyCNV) and data-driven (CADD-SV, dbCNV, StrVCTVRE, SVScore, TADA, XCNV) groups in accordance with the ACMG guidelines. We assessed their accuracy, robustness, and usability across diverse genomic contexts, biological mechanisms and computational efficiency using seven carefully curated independent datasets. Our results revealed that both groups of methods exhibit comparable effectiveness in predicting SV pathogenicity, although performance varies among tools, emphasizing the importance of selecting the appropriate tool based on specific research purposes. Furthermore, we pinpointed the potential improvement of expanding these tools for future applications. Our benchmarking framework provides a crucial evaluation method for SV analysis tools, offering practical guidance for biomedical research and facilitating the advancement of better genomic research tools.The data accessed in this article are available in ClinVar (accessed at 2024-Mar-20), GnomAD (v4.1) and Cosmic (accessed at 2024-Mar-20).