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We’re working on 1M Covid-19 testing capacity per day

billiontoone.com

51–60 of 247 posts

Re: We’re working on 1M Covid-19 testing capacity per day

#51
post #24

Earlier quoted context omitted.

What's the stronger interpretation?

They say they have not had false positives or false negatives. If that's not a lie, then that's not a lie. It does not mean the test is perfect, but it likely means the false result rate is low.

Im not sure what you think the stronger interpretation is?

Re: We’re working on 1M Covid-19 testing capacity per day

#52
post #2

I'm the co-founder and CTO at BillionToOne. I'm happy to answer any questions here. I've also posted a slightly more technical explanation of how the test works and why it can scale here: https://twitter.com/dtsao/status/1247642005510873088?s=21 Edit: Since our site seems to be overwhelmed at the moment, here's a recap: We’ve been working hard at BillionToOne on a new COVID-19 test that scales testing to everyone in…

Hi, Any thoughts on maybe contacting other countries such as India?

Re: We’re working on 1M Covid-19 testing capacity per day

#53
post #2

I'm the co-founder and CTO at BillionToOne. I'm happy to answer any questions here. I've also posted a slightly more technical explanation of how the test works and why it can scale here: https://twitter.com/dtsao/status/1247642005510873088?s=21 Edit: Since our site seems to be overwhelmed at the moment, here's a recap: We’ve been working hard at BillionToOne on a new COVID-19 test that scales testing to everyone in…

Hey, lowly Bio undergrad here, but how are you able to skip the RNA extraction step? I read the paper and you use the viral transport medium, but wouldn't you have to also purify RNA from that (or is it just much easier to extract RNA from that medium)? I also dived into the paper behind the "skip the RNA extraction step" methodology and it basically seems to swap out one RNA extraction kit for another (Qiagen RNeasy Mini kit and the Qiagen RNeasy Micro kit). Couldn't shifting kits from one provider to another introduce supply chain strain? (or am I just oversimplifying it?)

Re: We’re working on 1M Covid-19 testing capacity per day

#54
post #43
post #36

Earlier quoted context omitted.

For HN it's better to drop the fundraising language and use the implementing language, so I've s/machine learning/linear regression/'d your text above.

Wait, are you saying that you actually edited the text of someone's comment?

I do that occasionally when coaching YC startups with their HN launches (https://news.ycombinator.com/launches), which this is a variant of.

Re: We’re working on 1M Covid-19 testing capacity per day

#55
post #23
post #18

Earlier quoted context omitted.

Since people seem to be reacting to the word "unlocking" in the title, I've replaced it with "working on".

Thanks. Make him explain whether the machine learning is real too, since his linked manuscript doesn't say anything about it. This is a really exploitative moment to be hyping things.

Both the methods and David's twitter clearly describe the linear regression as the method and how it works with spike-in. In practice, it is a lot more complicated, as the signal-to-noise ratio can interfere with the regression and primer N-1 synthesis errors need to be accounted for. That is why we are willing to help other laboratories with our bioinformatics pipeline.

Re: We’re working on 1M Covid-19 testing capacity per day

#56
post #17
post #10

Thanks for your efforts! Inspiring to see our broader community spring into action. I was part of a volunteer team that tested 3400 people on Friday/Saturday in Santa Clara country for COVID-19 antibodies [1]. It took a team of 100+ volunteers 10 hours / day just to collect samples. Stanford, for example, has plenty of automated testing capacity, and even reagents. IMHO, the limiting factors are not that we need new…

Thank you for your efforts as well! Sample collection and accessioning (accessioning is unpacking test tubes one by one and aliquoting them into plates in the lab) is definitely going to require a lot of manpower. I'm hopeful that patients "self swabbing" can help alleviate some of the manpower needs. (Self-swabs are not allowed currently under FDA guidance).

A self-swab surveillance program has been launched in Seattle: https://publichealthinsider.com/2020/03/23/introducing-scan-... .

Is self-swabbing allowed there because it's for research purpose, not clinical purpose? The program does tell users whether they test positive though.

Re: We’re working on 1M Covid-19 testing capacity per day

#57
post #43
post #36

Earlier quoted context omitted.

For HN it's better to drop the fundraising language and use the implementing language, so I've s/machine learning/linear regression/'d your text above.

Wait, are you saying that you actually edited the text of someone's comment?

Seems reasonable, as dang explained the impact and the rationale.

Thanks Dang!

Re: We’re working on 1M Covid-19 testing capacity per day

#58

Earlier quoted context omitted.

Because scaling medical testing is the same as scaling web services...

actually, scaling a website is much easier than scaling a medical service. If you can't be bothered to take some basic steps for web site scaling (google page speed + a CDN) then the idea that you will carefully and successfully navigate to a 1 million tests per day moderate to high complexity medical test seems like it will be a stretch no? That said, a 100% support MUCh higher test capacity, both this and IGg IGm (…

> If you can't be bothered to take some basic steps for web site scaling (google page speed + a CDN) then the idea that you will carefully and successfully navigate to a 1 million tests per day moderate to high complexity medical test seems like it will be a stretch no?

No. :)

Seriously, these are orthogonal skills. I briefly worked for a communications satellite company that had a pretty godawful web site, but I doubt any of their prospective customers visited it and said, "Wow, if these people can't design a good looking web page, how can we trust them to put a satellite in orbit?"

Re: We’re working on 1M Covid-19 testing capacity per day

#59
post #2

I'm the co-founder and CTO at BillionToOne. I'm happy to answer any questions here. I've also posted a slightly more technical explanation of how the test works and why it can scale here: https://twitter.com/dtsao/status/1247642005510873088?s=21 Edit: Since our site seems to be overwhelmed at the moment, here's a recap: We’ve been working hard at BillionToOne on a new COVID-19 test that scales testing to everyone in…

Hey, lowly Bio undergrad here, but how are you able to skip the RNA extraction step? I read the paper and you use the viral transport medium, but wouldn't you have to also purify RNA from that (or is it just much easier to extract RNA from that medium)? I also dived into the paper behind the "skip the RNA extraction step" methodology and it basically seems to swap out one RNA extraction kit for another (Qiagen RNeasy…

We have the data both with extraction and without and show that it does not make a difference with qSanger. In Figure 4, we add VTM directly to PCR reactions. Seracare VTM samples has SARS-CoV-2 viral RNA in a different capsid to prevent infections in a research setting, but otherwise it reflects real-world VTM samples (and much more realistic than even what EUA requires).

By the way, this robustness is completely expected, as any impurities in VTM would impact spike-in and endogenous viral amplification equally for end-point PCR (so their ratio stays the. same). This is not necessarily true for qPCR where an impurity (caused by lack of RNA extraction) can potentially cause a positive sample look like a negative when the viral RNA does not RT-PCR.

Re: We’re working on 1M Covid-19 testing capacity per day

#60
post #10

Thanks for your efforts! Inspiring to see our broader community spring into action. I was part of a volunteer team that tested 3400 people on Friday/Saturday in Santa Clara country for COVID-19 antibodies [1]. It took a team of 100+ volunteers 10 hours / day just to collect samples. Stanford, for example, has plenty of automated testing capacity, and even reagents. IMHO, the limiting factors are not that we need new…

I find it incredible that no one has done these studies before issuing the lock down orders. Without knowing what the proportion of people who have been exposed but aren't sick any response is the wrong response.

If it turns out that it's already spread to most everybody lock downs are just a way to create more homelessness. If it turns out that the only people with the antibodies are the ones in the hospitals we need martial law.

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