“…While many computational methods have been developed to predict whether a missense mutation is generally deleterious or pathogenic (Adzhubei et al, 2010;Carter et al, 2013;Ioannidis et al, 2016;Jagadeesh et al, 2016;Kircher et al, 2014;Ng and Henikoff, 2001), there has not previously been a method to score the oncogenic impact of a missense mutation specifically by cancer type. Although it is well known that missense mutations have different impacts in different cancer types, currently available computational methods (Adzhubei et al, 2010;Carter et al, 2009;Carter et al, 2013;Cohen et al, 2018;Gonzalez-Perez et al, 2012;Ioannidis et al, 2016;Jagadeesh et al, 2016;Kumar et al, 2016;Mao et al, 2013;Ng and Henikoff, 2001;Reva et al, 2011;Shihab et al, 2013) either do not take it into consideration or fail at the task of distinguishing the differences. A recent systematic study comparing 15 such methods concluded that none of them were yet sufficiently reliable to guide high-cost experimental or clinical followthrough (Martelotto et al, 2014).…”