“…Most of the SVs discovered using ONT and PacBio reads are novel, lending weight to the notion that a large number of SVs are not detected by short-read approaches [52,[79][80][81]. In addition, longer read lengths allow haplotype phasing and de novo assembly of complex SVs, crucial for the accurate interpretation of the functional impact of these events [82][83][84][85]. Taking advantage of the unique properties of both ONT and PacBio long-read sequencing, and the development of new whole-genome assembly methods [78,86], the Telomere-to-Telomere Consortium has recently (i) chromothripsis where the genome is shattered and the pieces joined back together at random, (ii) chromoplexy where interdependent translocations and deletions are joined together in a chain, (iii) chromoanasynthesis, which is a pattern of localised amplification and short stretches of breakpoint microhomology, (iv) breakage-fusion-bridge cycles, where telomeres are lost, dicentric chromosomes form before breaking due to mitotic stress, (v) extrachromosomal DNAs (ecDNAs), where large segments of DNA form acentric circles that often contain oncogenes and regulatory regions; these ecDNAs may be reincorporated into the chromosome, as (vi) homogeneously staining regions, and (vii) aneuploidy and whole-genome duplication where some or all chromosomes have additional or double the number of copies, respectively.…”