# CGHpower: exploring sample size calculations for chromosomal copy number experiments

- Ilari Scheinin
^{1, 2, 3}, - José A Ferreira
^{4}, - Sakari Knuutila
^{2}, - Gerrit A Meijer
^{1}, - Mark A van de Wiel
^{4, 5}and - Bauke Ylstra
^{1}Email author

**11**:331

https://doi.org/10.1186/1471-2105-11-331

© Scheinin et al; licensee BioMed Central Ltd. 2010

**Received: **14 December 2009

**Accepted: **17 June 2010

**Published: **17 June 2010

## Abstract

### Background

Determining a suitable sample size is an important step in the planning of microarray experiments. Increasing the number of arrays gives more statistical power, but adds to the total cost of the experiment. Several approaches for sample size determination have been developed for expression array studies, but so far none has been proposed for array comparative genomic hybridization (aCGH).

### Results

Here we explore power calculations for aCGH experiments comparing two groups. In a pilot experiment CGHpower estimates the biological diversity between groups and provides a statistical framework for estimating average power as a function of sample size. As the method requires pilot data, it can be used either in the planning stage of larger studies or in estimating the power achieved in past experiments.

### Conclusions

The proposed method relies on certain assumptions. According to our evaluation with public and simulated data sets, they do not always hold true. Violation of the assumptions typically leads to unreliable sample size estimates. Despite its limitations, this method is, at least to our knowledge, the only one currently available for performing sample size calculations in the context of aCGH. Moreover, the implementation of the method provides diagnostic plots that allow critical assessment of the assumptions on which it is based and hence on the feasibility and reliability of the sample size calculations in each case.

The CGHpower web application and the program outputs from evaluation data sets can be freely accessed at http://www.cangem.org/cghpower/

## Background

Array comparative genomic hybridization (aCGH) is a technique that uses microarrays to perform high-resolution and genome-wide screening of DNA copy number changes. Its most important applications are in cancer research [1] and clinical genetics [2]. In this paper we focus on aCGH experiments comparing two groups of cancer samples. Previously, we introduced the Wilcoxon test with ties to identify chromosomal copy number differences when comparing two groups [3]. The goal of comparing two groups is generally to identify disease biomarkers, chromosomal regions (or genes therein) for survival, therapy, progression, *et cetera*. An important problem that arises in the planning of aCGH experiments is the choice of the sample size, which we explore here. Data analysis of microarray experiments comparing two groups generally involves calculating a test statistic for each array element and setting a cutoff for rejecting the null hypothesis of no difference between the groups. With a single array element, there are therefore two typical errors that can occur in the process. A type I error occurs when the null hypothesis is rejected even though it was actually true and the cut-off was exceeded only by chance. A type II error involves accepting a null hypothesis that should have been rejected, thus failing to identify a true difference. To broaden the perspective from individual array elements to the framework of multiple testing covering the entire microarray, two concepts are used: false discovery rate (FDR) [4] and average power. FDR is the expected percentage of discoveries that are false. Statistical power is the probability of recognizing a single array element with a true difference, and average power refers to the expected percentage of true positives that is identified. In general, it is desirable to have the FDR as close to zero and average power as close to one as possible. Setting the cut-off for rejecting the null hypothesis is a delicate balance between sensitivity and specificity; while a stringent cut-off lowers the FDR, it also lowers average power and *vice* versa.The only way to improve both, or one without affecting the other, is to increase the number of biological replicates and thus perform more arrays. Sample size calculations can generally be divided into two categories. The first category asks the user to define values for certain parameters, such as the effect size (fold change of a differentially expressed gene) and the proportion of genes that are truly differentially expressed [5–9]. The second category estimates these parameters from existing data [10, 11]. The method proposed here follows the latter approach and therefore requires pilot data.

To adapt mRNA expression array power calculations for aCGH and copy number changes, two key aspects need to be taken into account. Instead of concentrations of individual mRNA molecules, the underlying biology measured by aCGH consists of blocks of chromosomal DNA. Each block is (presumably) present in a normal copy number of two, but may contain areas of one or two-copy losses and one or more gains. Higher level amplifications can also be present. The aberrations contain both driver and passenger genes, and the breakpoints may vary from one sample to another.

As the entity being measured is DNA present in a discrete number of copies (0, 1, 2, 3, 4, ...), but individual array elements yield log_{2} ratios, aCGH data preprocessing generally involves the following steps that aim to better capture the biological relevance. *Normalization* first removes technical artifacts and makes the log_{2} ratios comparable across different hybridizations. *Segmentation* then identifies areas that share a common copy number and are separated by breakpoints. Finally, *calling* determines a discrete copy number level for each segment. At the moment, there is no clear consensus regarding the optimal stage of preprocessing from which the data should be used for downstream analysis. We discussed the topic and proposed that in most cases the recommended choice be to use calls, which have the clear advantage of having an attached biological meaning [12]. For power calculations however, the use of calls is problematic, as it would require the use of the chi-square test, for which no method of sample size calculation in large FDR-based multiple testing contexts is presently available. While both normalized and segmented log ratios allow the use of a t-test, they fail to take full advantage of the adjacency of consecutive array elements. Aberrations typically show great variation in their sizes ranging from focal amplifications to gains and losses of entire chromosome arms. Working directly with the original array elements does not take this into account, and gives larger aberrations significantly more weight than smaller ones as they contain more array elements. A possible improvement is therefore to replace array elements with regions, which are defined as a series of neighboring array elements sharing the same copy number signature. This reduces dimensionality with little loss of information [13]. Throughout this paper, the term *regions* is used to refer to the results of this analysis step.

For CGHpower, we are combining the advantages of regions with the feasibility of log ratios, by replacing the hard calls with median log ratios of all the array elements within a region. Together with these region-wise log ratios (RWLRs), the regions are then taken as a representation of the underlying biology (*i.e.* chromosomal regions with varying copy number levels). Each region is coupled to a null hypothesis stating that the means of the two groups do not differ from each other, which is the framework required for the power calculations proposed here. Regions that have a true difference between the two groups (generally normal copy number in one group and a gain, loss or amplification in the other) will be referred to as "differentially behaving regions".

After this preprocessing, power calculations are performed using regions as Ferreira *et al.*[14] previously described for both real and simulated gene expression data. T-statistics and p-values are calculated for each region from the RWLRs. All p-values from non-differentially behaving regions are expected to follow a uniform distribution, while those from the differentially behaving ones should follow another, unknown distribution (*G*). Two separate estimators of *G* are calculated: a non-parametric (
) and a parametric one (Ĝ_{n}), which assumes that *G* follows a normal distribution. Both of these estimators depend on another unknown parameter, *γ*, which is the proportion of non-differentially behaving regions. When the estimate of *γ* used to calculate Ĝ_{
n
}and
moves away from its true value, the difference between the two *G* estimators increases. The estimate of *γ* is therefore chosen so that this difference is minimized. The limiting density of effect sizes (λ) is then estimated using deconvolution, and so is *G*. Once these estimates have been calculated, approximate sample size calculations can be made using an adaptive version of the Benjamini-Hochberg method for multiple testing. While the original method [4] allows control over the FDR, the adaptive version also allows the estimation of average power [10].

While optimizing the protocol, there were certain options that we considered: whether to calculate the RWLRs as the mean or median of the log ratios, whether to use the Student's t-test assuming equal variances or Welch's t-test that allows unequal variances, and finally whether to calculate the p-values from normal or Student's t-distribution. All of the possible combinations were tested, and the optimum performance was observed with median log ratios, unequal variances and the normal distribution. These choices were then fixed in CGHpower.

## Implementation

### Evaluation Data Sets

*et al.*[15], Douglas

*et al.*[16], Fridlyand

*et al.*[17], Myllykangas

*et al.*[18], Nymark

*et al.*[19], Postma

*et al.*[20], Smeets

*et al.*[21] and Wrage

*et al.*[22] A total of five different array types were used among the data sets: VUmc 30 K spotted oligo [23] for data sets [15, 20, 22], Agilent Human 1 cDNA Microarray for [18, 19], 3 K BAC array [24] for [16], 2 K BAC array [25] for [17] and 6 K BAC array for [21]. Table 1 provides a summary of the cancer and array types, together with group definitions and sizes.

Evaluation data sets

Data Set | Array Type | Probes | Regions | Cancer Type | Groups (Samples) |
---|---|---|---|---|---|

Chin | spotted oligo | 26,755 | 223 | breast | ER+ (113) |

Douglas | BAC | 3,032 | 142 | colorectal | MSI (7) |

Fridlyand | BAC | 1,877 | 231 | breast | TP53+ (10) |

Myllykangas | cDNA | 11,342 | 260 | gastric | diffuse (15) |

Nymark | cDNA | 10,953 | 242 | lung | asbestos-exposed (11) |

Postma | spotted oligo | 26,755 | 111 | colorectal | good (16) |

Smeets | BAC | 4,196 | 143 | head and neck | HPV+ (12) |

Wrage | spotted oligo | 25,549 | 23 | lung | BM+ (13) |

Simulation 0 | in-situ oligo | 42,331 | 440 | (15) | |

Simulation 5 | in-situ oligo | 42,331 | 489 | (15) | |

Simulation 10 | in-situ oligo | 42,331 | 525 | (15) |

### Simulated Data Sets

In addition to real data sets, evaluation was also performed with simulated data. While generating the simulations, we attempted to implement realistic aspects of both signal and noise of tumor profiles. In the context of an aCGH experiment comparing two groups, the signal consists of aberrant regions that are specific to one of the groups. Noise consists of regions common to both groups, random aberrations in individual samples, and technical noise. Further characteristics are also that the sizes of the aberrant regions vary from entire chromosomes to focal aberrations, the exact start and end positions of a region vary slightly from one sample to another, and even a "common" region might not be be present in all of the samples.

The simulated data were generated by introducing artificial aberrations into a data set of clinical genetics samples of patients with mental retardation and no or few chromosomal aberrations [26]. To achieve a simulated data set of the desired size, resampling was performed with replacement. Aberrant regions were then randomly introduced as follows. A single array element was chosen at random as the starting point of a region. The size of the region was then chosen at random with a 10% probability for a single cytoband, 30% for three consecutive bands, 30% for six consecutive bands, 20% for the whole chromosome arm, and 10% for the entire chromosome. The type of the aberration was randomly chosen as a gain or loss with equal probabilities, but for the smallest aberrations of individual cytobands, a 2% probability for amplifications was also included. When introducing a region to a set of samples, the exact samples receiving the aberration were sampled from the Bernoulli distribution with p = 70%. Randomness was also introduced to the exact start and end positions of aberrations in individual samples by shifting the starting and ending array elements by a random number between -10 and 10.

A simulated data set of 15 + 15 arrays was generated with 30 common regions, and 5 regions for each individual sample. These copy number changes do not separate the two groups from each other, and therefore represent background noise. This data set is referred to as Simulation 0. Single regions specific to the two groups were then introduced to Simulation 0 yielding data set Simulation 1. This process was repeated ten times resulting in a set of 11 simulations with the amount of differential signal ranging from none in Simulation 0 to 10 regions specific to each group in Simulation 10. Only Simulations 0, 5 and 10 are presented in this paper, but the full CGHpower outputs for all of them are available on the program's web page.

### Preprocessing

All evaluation data sets were preprocessed starting from raw log_{2} ratios. First, the data were median normalized. Wavy patterns typically seen in many aCGH profiles were removed [26] from the 30 K arrays [15, 20, 22]. Normalized log ratios were segmented using the DNAcopy algorithm [27] and called by CGHcall [28] to identify gains, losses and amplifications. Regions between breakpoints were then collapsed into single data points, when shared between most of the samples [13]. Finally, the median log ratio was calculated for each of these regions in each sample, resulting in region-wise log ratios (RWLRs). All algorithms were run with default parameters, and sex chromosomes were excluded from the data.

### Sample Size Calculations

For each region, t-statistics were calculated with a Welch's t-test allowing unequal variances and p-values computed from the normal distribution. The proportion of non-differentially behaving regions (γ) was estimated by minimizing the difference between parametric (Ĝ_{n}) and non-parametric (
) estimators of *G*, which is the unknown distribution of the p-values from differentially behaving regions. The limiting density of effect sizes (λ)and *G* were then estimated using deconvolution. Finally, with FDR fixed at 10%, these parameter estimates were used to approximate average power as a function of sample size.

## Results and Discussion

*(e.g.*~0.9 will typically do, but 0.99 will not). The second assumption is that the RWLRs be approximately normally distributed, being neither particularly asymmetric (skewness) nor heavily tailed or extremely peaky (kurtosis). The complete CGHpower program output contains diagnostic plots from different stages of the power calculations procedure. These plots help determine to which extent these assumptions are fulfilled. While it is impossible to know what the true values of γ and λ are, one can easily evaluate how well the two estimators of

*G*agree with each other (the "goodness-of-fit"). If they show a clear discrepancy, the accuracy of parameter estimation is questionable and the resulting power calculations consequently unreliable. Different scenarios in the quality of parameter estimation observed with the evaluation data sets are examined for each of the data sets to estimate the reliability of the calculated power.

*et al.*, Smeets

*et al.*, Fridlyand

*et al.*and Chin

*et al.*are examples where the goodness-of-fit of the

*G*estimators was satisfactory, ranked in this order according to their fits (Figure 2A). What appears to be the most important factor distinguishing these data sets from the others, is the density of the p-values. If there is no difference detected between two groups, p-values are expected to follow a uniform distribution, and their density function appears as a flat line. When the number of differentially behaving regions increases (γ moves away from 1), density at low p-values increases and the function is expected to be convex (Figure 2B). This can also be seen on the simulations where the amount of differential signal gradually increases from Simulation 0 to Simulation 10. Along with the increase in density for low p-values, also the goodness-of-fit systematically improves (data and figures at http://www.cangem.org/cghpower/).

Less satisfactory performance was observed with data sets of Postma *et al.* and Myllykangas *et al.* The goodness-of-fit shows more disagreement between the two estimators of *G* (Figure 2C) and as a result power estimates are less reliable. The density is increasing for low p-values, but slightly less and the function is not convex as expected (Figure 2D). Compared to Simulation 0, which has no true differences between the groups, the increase in p-value density for the data set of Myllykangas *et al.* is very small. One explanation is that there is simply not enough differential signal that is detectable with a t-test. Alternatively, the number of differentially behaving regions might be too low ( *i.e. γ* is too close to 1). While these data sets do give *γ* estimates of 0.75 and 0.55, respectively, these estimates cannot be trusted if the estimates of *G* disagree with each other. Therefore it is recommended that the goodness-of-fit plot be used to assess the reliability of the estimates of other parameters. Also, judging from the results with the simulated data sets, CGHpower seems to underestimate the true value of *γ*.

While assumptions regarding *γ* seem to be most important, the RWLRs are also assumed to be normally distributed. The program output contains histograms of the skewness (asymmetry) and kurtosis (peakedness) of the RWLRs, superimposed with those of a normal distribution (data on the CGHpower web page). Assumptions of normality become more critical with small sample sizes and less important with large ones. Within the evaluation data sets, most violations of normality were observed with the Chin *et al.* data set, yet this is one of the better-performing ones in terms of goodness-of-fit. This might be explained by the relatively large sample size (170) of the study. Another factor besides the number of arrays, is the number of regions found after the preprocessing step. The larger the number of regions, the better the performance of the parameter estimation and therefore the reliability of power calculations. The assumption of normality is therefore more crucial with samples containing very few biological differences.

The data sets of Nymark *et al.* and Wrage *et al.* are examples where our method failed to work, despite the differences reported and technically as well as biologically validated. In the case of Nymark *et al.* the obtained power curve is a flat line (Figure 1). This can happen when parameter estimation fails. The explanation can be found from the density of the p-values, but now the assumptions were violated more severely than in the cases of Postma *et al.* and Myllykangas *et al.* The density function is actually concave and shows even less density at low p-values than would be expected by chance (Figure 2F). With Wrage *et al.*, failure can be observed at the preprocessing step, as only 23 regions are detected (Table 1). Since the sex chromosomes are excluded from the analysis, this means that only one copy number breakpoint was detected in the whole genome using the fixed CGHpower preprocessing described above. As preprocessing and power calculations procedures are fixed earlier in CGHpower, it was not optimized it for every aCGH platform or data set. Allowing the user to fine-tune different settings and immediately see the result of each change would require implementing a more complex user interface, similar to desktop software, which would be impractical for a single-purpose web tool. As an alternative option, if the goodness-of-fit and density plots indicate that power calculations failed, users can perform preprocessing independently, turn off the preprocessing step from the program, and perform the power calculations only.

### Consistency as the Pilot Size Is Increased

*et al.*data set, since it is our largest one. This data set contains a total of 170 arrays (113

*vs.*57), which was split into smaller subsets to represent pilots of a larger study. Nine resamplings ranging from 10% (11

*vs.*6 arrays) to 90% (102

*vs.*51) of the original data set were randomly selected for the power calculations. Each resampling was repeated 10 times and the results were averaged. Two of the ten repetitions of the 10% subset and one repetition in the 20% subset experienced a failed power estimation resulting in flat power curves as with the Nymark

*et al.*data set. These cases were removed before averaging the results. A plot of the resulting power estimates shows that except for the smallest subset (11

*vs.*6 arrays), the results appear to be consistent (Figure 3). This suggests that as long as the pilot is of sufficient size, power estimates generated with CGHpower using smaller pilot data sets are in fact representative of a subsequent larger study. While the exact requirement for a "sufficient pilot" is hard to define beforehand, the power calculations can be repeated when more arrays are performed to see whether power estimates are still changing or have been stabilized.

## Conclusions

We have explored sample size calculations in the context of aCGH and copy number changes and propose a dedicated tool for this purpose. From a pilot data set, CGHpower estimates the biological diversity between two groups of cancer samples and estimates average power as a function of sample size using an adaptive version of the Benjamini-Hochberg method for multiple testing [4, 10]. Pilot data is used for parameter estimation and this requires certain assumptions to hold in an approximate sense. We have evaluated the performance of CGHpower with eight published data sets, four of which show satisfactory performance using predefined preprocessing measures. Among these data sets were BAC and oligo-based array platforms, whose resolution varied from less than 2 K for BACs to almost 27 K for oligos. The differences in resolution did not have a direct impact on the obtained power estimates, which should be determined more by the amount of biological variation between the two groups.

In two data sets violations of critical assumptions lead to problems in parameter estimation and therefore power estimates are less reliable. More severe violations and/or the inflexibility of a completely predefined analysis procedure lead to failed execution for the two other data sets. Even though the proposed method has its limitations, it is to our knowledge the only proposed one for aCGH data and copy number changes. As the program allows performance evaluation through diagnostic plots, critical judgement can be applied for each data set.

As a summary on the evaluation of CGHpower results, users should consider paying attention to the following: 1) Do the copy number profile plots appear similar to the aberrations that you have detected in your own analysis? If CGHpower does not seem to detect the important aberrations, consider performing the preprocessing before uploading and use CGHpower only for the power calculations. 2) Do the estimators of *G* agree with each other? If the goodness-of-fit is poor, so will other parameter (and resulting power) estimates. 3) Is the density function of the p-values convex, and showing a higher density at small p-values? A straight or concave function might be caused by too small effect size, or γ being too close to one. 4) Excess skewness and/or kurtosis in the data might also affect the performance, but this seems to be less crucial.

The proposed method uses log ratios instead of calls, even though we feel the latter is generally the preferred choice when working with aCGH data. Calls have the benefit of a clear biological meaning and are therefore easier to interpret. However, their use for power calculations in the context of FDR is problematic, as it would require using the chi-square test, a setting that is not as well developed as the Gaussian one. Also, as log ratios are the basis for calls in the first place, they do contain all the necessary information even though they are not as clear to interpret.

In comparison to sample size calculations for mRNA expression arrays, the differentiating factor for aCGH studies is the concept of regions, which stems from the different biological phenomenon underlying the microarray log_{2} ratios. Compared to the number of array elements, the number of regions is relatively small, which presents challenges to parameter estimation from the data. As the total number of regions is remarkably smaller than with expression arrays, the estimation might fail if the number of differentially behaving regions is too small, even if there is a true difference between the groups.

An important concern when performing power calculations is the actual power requirement. A power curve typically plateaus out at some point, indicating saturation. Increasing the average power from *e.g.* 60% to 70% requires a significantly bigger increase in sample size than is needed for an increase from 50% to 60%. Therefore it is difficult to set a a predefined gold standard of adequate power. One option is to try to find where the slope of the power curve is decreasing rapidly. This should give a reasonable compromise between statistical power and cost of the experiment. Another aspect worth pointing out, is that the level of power needed also depends on the research question. For example, if the goal is to construct a classifier that can classify future samples into one of the two groups, a lower level of average power might yield a perfectly satisfactory classifier even though not all differences are detected.

## Availability and requirements

CGHpower is a web-based application and can be freely accessed at http://www.cangem.org/cghpower/. It allows direct uploads and can also automatically retrieve data stored in the CanGEM database [29]. The computation times of CGHpower may vary considerably depending on the number of samples and array elements in the data set, and also on the prevailing load of the Linux cluster where the calculations are performed. As an example, running times for a data set of 30 samples and 42 K array elements have been around 1-1.5 hours in our test runs. The software has been implemented in R [30] and the source code is available upon request.

## Declarations

### Acknowledgements

This work was supported by the Finnish special governmental subsidies for health sciences research in Helsinki University Central Hospital; the Finnish Funding Agency for Technology and Innovation (TEKES, 40141/07); the Sigrid Jusélius Foundation; the Centre for Medical Systems Biology (CMSB); and the Centre of Excellence Approved by the Netherlands Genomics Initiative/Netherlands Organisation of Scientific Research (NWO); and this study was performed within the framework of CTMM, the Center for Translational Molecular Medicine. DeCoDe project (grant 03O-101).

FIMM Technology Centre, Institute for Molecular Medicine Finland (FIMM) is acknowledged for their high performance computing facilities.

## Authors’ Affiliations

## References

- Kallioniemi A: CGH microarrays and cancer.
*Curr Opin Biotechnol*2008, 19: 36–40. 10.1016/j.copbio.2007.11.004View ArticlePubMedGoogle Scholar - Shinawi M, Cheung SW: The array CGH and its clinical applications.
*Drug Discov Today*2008, 13(17–18):760–770. 10.1016/j.drudis.2008.06.007View ArticlePubMedGoogle Scholar - van de Wiel MA, Smeets SJ, Brakenhoff RH, Ylstra B: CGHMultiArray: exact P-values for multi-array comparative genomic hybridization data.
*Bioinformatics*2005, 21(14):3193–3194. 10.1093/bioinformatics/bti489View ArticlePubMedGoogle Scholar - Benjamini Y, Hochberg Y: Controlling the false discovery rate: a practical and powerful approach to multiple testing.
*J Roy Stat Soc Ser B*1995, 57: 289–300.Google Scholar - Lee MLT, Whitmore GA: Power and sample size for DNA microarray studies.
*Stat Med*2002, 21(23):3543–3570. 10.1002/sim.1335View ArticlePubMedGoogle Scholar - Muller P, Parmigiani G, Robert C, Rousseau J: Optimal sample size for multiple testing: the case of gene expression microarrays.
*J Am Stat Assoc*2004, 99(468):990–1001. 10.1198/016214504000001646View ArticleGoogle Scholar - Pan W, Lin J, Le CT: How many replicates of arrays are required to detect gene expression changes in microarray experiments? A mixture model approach.
*Genome Biol*2002, 3(5):research 0022. 10.1186/gb-2002-3-5-research0022View ArticleGoogle Scholar - Pawitan Y, Michiels S, Koscielny S, Gusnanto A, Ploner A: False discovery rate, sensitivity and sample size for microarray studies.
*Bioinformatics*2005, 21(13):3017–3024. 10.1093/bioinformatics/bti448View ArticlePubMedGoogle Scholar - Tibshirani R: A simple method for assessing sample sizes in microarray experiments.
*BMC Bioinformatics*2006, 7: 106. 10.1186/1471-2105-7-106View ArticlePubMedPubMed CentralGoogle Scholar - Ferreira JA, Zwinderman AH: Approximate power and sample size calculations with the Benjamini-Hochberg method.
*Int J Biostat*2006, 2(10):Article 8.Google Scholar - Jørstad TS, Midelfart H, Bones AM: A mixture model approach to sample size estimation in two-sample comparative microarray experiments.
*BMC Bioinformatics*2008, 9: 117. 10.1186/1471-2105-9-117View ArticlePubMedPubMed CentralGoogle Scholar - van de Wiel MA, Picard F, van Wieringen WN, Ylstra B: Preprocessing and downstream analysis of microarray DNA copy number profiles.
*Brief Bioin-form*2010, in press.Google Scholar - van de Wiel MA, van Wieringen WN: CGHregions: dimension reduction for array CGH data with minimal information loss.
*Cancer Informatics*2007, 3: 55–63.PubMedPubMed CentralGoogle Scholar - Ferreira JA, Zwinderman A: Approximate sample size calculations with microarray data: an illustration.
*Stat Appl Genet Mol Biol*2006, 5(1):Article 25.Google Scholar - Chin SF, Teschendorff AE, Marioni JC, Wang Y, Barbosa-Morais NL, Thorne NP, Costa JL, Pinder SE, van de Wiel MA, Green AR, Ellis IO, Porter PL, Tavare S, Brenton JD, Ylstra B, Caldas C: High-resolution aCGH and expression profiling identifies a novel genomic subtype of ER negative breast cancer.
*Genome Biol*2007, 8(10):R215. 10.1186/gb-2007-8-10-r215View ArticlePubMedPubMed CentralGoogle Scholar - Douglas EJ, Fiegler H, Rowan A, Halford S, Bicknell DC, Bodmer W, Tomlinson IPM, Carter NP: Array comparative genomic hybridization analysis of colorectal cancer cell lines and primary carcinomas.
*Cancer Res*2004, 64(14):4817–4825. 10.1158/0008-5472.CAN-04-0328View ArticlePubMedGoogle Scholar - Fridlyand J, Snijders AM, Ylstra B, Li H, Olshen A, Seg-raves R, Dairkee S, Tokuyasu T, Ljung BM, Jain AN, McLennan J, Ziegler J, Chin K, Devries S, Feiler H, Gray JW, Waldman F, Pinkel D, Albertson DG: Breast tumor copy number aberration phenotypes and ge-nomic instability.
*BMC Cancer*2006, 6: 96. 10.1186/1471-2407-6-96View ArticlePubMedPubMed CentralGoogle Scholar - Myllykangas S, Junnila S, Kokkola A, Autio R, Scheinin I, Kiviluoto T, Karjalainen-Lindsberg M, Hollmen J, Knuu-tila S, Puolakkainen P, Monni O: Integrated gene copy number and expression microarray analysis of gastric cancer highlights potential target genes.
*Int J Cancer*2008, 123(4):817–825. 10.1002/ijc.23574View ArticlePubMedGoogle Scholar - Nymark P, Wikman H, Ruosaari S, Hollmen J, Vanhala E, Karjalainen A, Anttila S, Knuutila S: Identification of specific gene copy number changes in asbestos-related lung cancer.
*Cancer Res*2006, 66(11):5737–5743. 10.1158/0008-5472.CAN-06-0199View ArticlePubMedGoogle Scholar - Postma C, Koopman M, Buffart TE, Eijk PP, Carvalho B, Peters GJ, Ylstra B, van Krieken JH, Punt CJA, Meijer GA: DNA copy number profiles of primary tumors as predictors of response to chemotherapy in advanced colorectal cancer.
*Ann Oncol*2009, 20(6):1048–1056. 10.1093/annonc/mdn738View ArticlePubMedGoogle Scholar - Smeets SJ, Braakhuis BJM, Abbas S, Snijders PJF, Ylstra B, van de Wiel MA, Meijer GA, Leemans CR, Brak-enhoff RH: Genome-wide DNA copy number alterations in head and neck squamous cell carcinomas with or without oncogene-expressing human pa-pillomavirus.
*Oncogene*2006, 25(17):2558–2564. 10.1038/sj.onc.1209275View ArticlePubMedGoogle Scholar - Wrage M, Ruosaari S, Eijk PP, Kaifi JT, Hollmen J, Yekebas EF, Izbicki JR, Brakenhoff RH, Streichert T, Riethdorf S, Glatzel M, Ylstra B, Pantel K, Wikman H: Genomic profiles associated with early micrometas-tasis in lung cancer: relevance of 4q deletion.
*Clin Cancer Res*2009, 15(5):1566–1574. 10.1158/1078-0432.CCR-08-2188View ArticlePubMedGoogle Scholar - van den Ijssel P, Tijssen M, Chin SF, Eijk P, Carvalho B, Hopmans E, Holstege H, Bangarusamy DK, Jonkers J, Meijer GA, Caldas C, Ylstra B: Human and mouse oligonucleotide-based array CGH.
*Nucleic Acids Res*2005, 33(22):e192. 10.1093/nar/gni191View ArticlePubMedPubMed CentralGoogle Scholar - Fiegler H, Carr P, Douglas EJ, Burford DC, Hunt S, Scott CE, Smith J, Vetrie D, Gorman P, Tomlinson IPM, Carter NP: DNA microarrays for comparative ge-nomic hybridization based on DOP-PCR amplification of BAC and PAC clones.
*Genes Chromosomes Cancer*2003, 36(4):361–74. 10.1002/gcc.10155View ArticlePubMedGoogle Scholar - Snijders AM, Nowak N, Segraves R, Blackwood S, Brown N, Conroy J, Hamilton G, Hindle AK, Huey B, Kimura K, Law S, Myambo K, Palmer J, Ylstra B, Yue JP, Gray JW, Jain AN, Pinkel D, Albertson DG: Assembly of mi-croarrays for genome-wide measurement of DNA copy number.
*Nat Genet*2001, 29(3):263–264. 10.1038/ng754View ArticlePubMedGoogle Scholar - van de Wiel MA, Brosens R, Eilers PHC, Kumps C, Meijer GA, Menten B, Sistermans E, Speleman F, Timmerman ME, Ylstra B: Smoothing waves in array CGH tumor profiles.
*Bioinformatics*2009, 25(9):1099–1104. 10.1093/bioinformatics/btp132View ArticlePubMedGoogle Scholar - Venkatraman ES, Olshen AB: A faster circular binary segmentation algorithm for the analysis of array CGH data.
*Bioinformatics*2007, 23(6):657–663. 10.1093/bioinformatics/btl646View ArticlePubMedGoogle Scholar - van de Wiel MA, Kim KI, Vosse SJ, van Wieringen WN, Wilting SM, Ylstra B: CGHcall: calling aberrations for array CGH tumor profiles.
*Bioinformatics*2007, 23(7):892–894. 10.1093/bioinformatics/btm030View ArticlePubMedGoogle Scholar - Scheinin I, Myllykangas S, Borze I, Bohling T, Knuutila S, Saharinen J: CanGEM: mining gene copy number changes in cancer.
*Nucleic Acids Res*2008, 36(Database):D830-D835. 10.1093/nar/gkm802View ArticlePubMedPubMed CentralGoogle Scholar - R Development Core Team: R: A Language and Environment for Statistical Computing.R Foundation for Statistical Computing, Vienna, Austria; 2009. [http://www.R-project.org] ISBN 3-900051-07-0Google Scholar

## Copyright

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.