DNA and RNA were co-isolated from each specimen as previously described.(23 ) DNA and RNA libraries were generated per sample using the Ion Ampliseq Library kit (Life Technologies, Foster City, CA), as described.(23 ) We prepared templates for DNA and RNA libraries using the Ion PI Template OT2 200 Kit v3 on the Ion One Touch 2 and sequencing was performed on Ion Proton P1 chips using the Ion PI Sequencing 200 Kit v3 (200 base pair reads), essentially as described.(24 (link),25 ) NGS data analysis was performed using Torrent Suite (4.2.0) and the Coverage Analysis Plug-ins (both v4.0-r73765), along with the Ion Reporter (4.2.0) Targeted NGS, fusion analysis workflow and in house validated pipelines as described in the Supplementary Methods.(24 (link)-27 ) A sample was classified as fusion positive if a fusion isoform was supported by ≥ 20 reads and ≥ 3.0% total mapped reads, otherwise is classified as fusion negative.