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01 Physician-led · molecular second opinion

With MENTHIS, your complex NGS report becomes a treatment plan you can act on.

A molecular second opinion in oncology. We turn your genetic test results into clear recommendations your treating doctor can act on directly — closing the gap between a lab result and a treatment decision.

We work with your existing report No new test required Median 3-day turnaround

Your analysis is prepared with MENTHIS, our AI-assisted decision engine that brings together genomic findings, treatment history and current clinical evidence; the final interpretation always passes through specialist physician review.

Prof. Dr. İbrahim Yıldız
Medical Oncology · personally signs every report
ASCO ESMO 133 publications
02 What we do

Raw genetic data is noise. We turn it into a roadmap you can read.

An NGS report contains hundreds of variants; most are irrelevant. Step by step, we filter out the noise, surface what actually matters, and tie each finding to an evidence-based treatment decision.

Document 02
Physician Narrative
TR EN BG RO BA
İbrahim Yıldız SIGNED
MOLECULAR FILE
14 §
01 Genomic & biomarker profile DNA·RNA
02 Tier classification IA–IV
03 Treatment decision matrix 1L/2L/3L
04 Immunotherapy eligibility SCORE
05 Resistance management MAP
06 Pharmacogenomics PGx
07 Clinical trial matching ACTIVE
+ 7 more sections
TIER IA NCCN v3.2025 · FDA label · ESCAT IA
00

Raw data

A report lists hundreds of variant rows — it is not clear which matter and which do not. On its own, this does not add up to a treatment plan.

01

Filtering

Technical artifacts, germline variants and low-confidence reads are removed, leaving only reliable, tumor-specific candidates.

02

Prioritization

The remaining variants are ranked by role: tumor-driving "driver" mutations rise to the top, inert "passengers" fall to the bottom.

03

Interpretation

Every driver mutation is matched against FDA approvals, current guidelines and clinical trials, then tiered by strength of evidence.

04

Decision

A physician-approved roadmap: 1st-, 2nd- and 3rd-line treatments, alongside likely resistance paths and trial alternatives.

03 In the physician’s own words

We explain NGS in two minutes.

Prof. Dr. İbrahim Yıldız answers the two questions patients and physicians ask most, in short videos — direct, without medical jargon.

Prof. Dr. İbrahim Yıldız
Medical Oncology · personally signs every report
VIDEO · 2:06
EPISODE 01
Genes decide the treatment route

How next-generation sequencing uses a tumor’s genetic profile to determine treatment sequence.

VIDEO · 1:48
EPISODE 02
Immunotherapy: what makes treatment personal?

Treatments that direct the immune system against the tumor, and the biomarkers that determine which patients respond.

04 Inside the advisory

What does your second opinion cover?

These are not separate products but layers of one consultation — eight different readings of the same case.

Swipe to browse

Tier Classification

Variants are auto-classified IA–IV per ACMG and ESCAT criteria, then confirmed by a physician.

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✓IA IB II III IV

Treatment Decision Matrix

1st-, 2nd- and 3rd-line options are ranked and prioritized by molecular profile.

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1L 2L 3L+

Immunotherapy Eligibility

TMB, MSI and PD-L1 are combined into a single immunotherapy reading.

More →
IO eligibility High · 7/10
TMB 7.4 MSS PD-L1 %45

Evidence & Sources

Every statement traces back to ClinVar, CIViC, PubMed and FDA sources.

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ClinVar VCV000…
CIViC EID 1409
PubMed PMID 36…
FDA label 2024

Resistance Management

A four-step strategy that anticipates resistance before it appears.

More →
BaselineTreatmentResistanceNext

Clinical Trial Matching

Active trials matched by variant and eligibility criteria, with NCT numbers.

More →
NCT05 · 3 matches

VAF & Clonality

Allele frequency and clonal structure are not just reported — they are interpreted.

More →
VAF

Physician Narrative

Prof. Dr. Yıldız's first-person clinical narrative, in your own language.

More →
TRENBGRO İ. Yıldız
05 Our data

First evidence: a 102-patient pilot study.

102 consecutive NGS reports were retrospectively assessed, comparing the original lab report against the Menthis report.

REPORT-LEVEL DIFFERENTIATION
%48,0

For 49 of 102 patients, at least one different or additional clinical recommendation was generated compared with the standard NGS report.

STUDY TYPE
Retrospective pilot study
SAMPLE
102 consecutive NGS reports
COMPARISON
Original report vs. Menthis report
STATUS
Submitted as an abstract to a national congress
Where did the impact come from? · n = 49 patients

The biggest impact isn’t finding a new drug — it’s ruling out the wrong target.

Ruling out an unsuitable target or treatment 16
Advanced clinical planning & resistance management 13
Analytical limitation / confirmation requirement 10
Optimizing treatment sequencing 10
A missed target / new treatment opportunity 8
Updating report currency & classification 7
Reassessing diagnosis / primary origin 5
Pharmacogenomics / drug safety 3

Impact categories can overlap; a single patient may be counted under more than one.

If no targetable mutation turns up, was NGS wasted? No.

NGS is not a "find-a-drug test" — it is a comprehensive decision-support tool that reveals a tumor’s molecular biology. Its value is not limited to finding one drug:

01

Avoiding ineffective treatment

Ruling out treatments that would not help, ahead of time.

02

Resistance mechanisms

Understanding likely resistance pathways and building them into the plan.

03

Immunotherapy biomarkers

Assessing TMB, MSI, PD-L1 and co-mutation context together.

04

Rare fusions

Investigating rare fusions and other genomic events.

05

Hereditary syndromes

Flagging hereditary cancer syndromes and family screening.

06

Prognostic insight

A more accurate outlook on disease course.

06 Pricing

One price.

One package: a complete written report and a personal consultation. Every case is personally signed by Prof. Dr. İbrahim Yıldız.

Report + consultation
Molecular Second Opinion

A complete fourteen-section written narrative, plus a 30-minute personal video consultation to review the findings together.

Contact us
A structured, fourteen-section IYGAS™ report
Variant interpretation and treatment matching
Active clinical trial recommendations
30-minute video consultation
60-day follow-up support · EN · TR · BG · RO · BA
Submit your case
07 For you

One platform, two ways in.

01 · FOR PHYSICIANS

Not a lab printout — a clinical ally.

Workflow-integrated reports, EHR-compatible exports, outcome data, and direct contact with the oncologist who reviewed the report.

See the physician workflow
02 · FOR PATIENTS & FAMILIES

Why your doctor sent your report here.

We translate the genomic findings in your report into the treatment options your doctor will discuss with you — in plain language, with your privacy protected.

Patient information
08 Frequently asked

The questions we hear most.

I already have an NGS report. Why would I also need a second opinion?

Your NGS lab report is a technical document written for specialists: it lists what was found, but it does not build a treatment strategy. We turn that same data into a complete clinical roadmap — prioritization, immunotherapy assessment, a resistance plan and clinical-trial matching — all in a form your doctor can act on directly.

Do I need a new test, or do you work with my existing report?

We work with your existing report — no new test is needed. We accept Tempus, FoundationOne CDx, Guardant360, Caris and other panels. If your report spans multiple platforms (DNA + RNA + IHC), we evaluate them together.

Does this replace my own oncologist?

No. Our report is a second opinion. All treatment decisions belong to your treating oncologist, who knows your medical history and overall condition. Every report states clearly that physician confirmation is required before any action.

What languages is the report available in?

The structured molecular consultation report (IYGAS™) is delivered in English, the international standard. The physician narrative is provided in Turkish, English, Bulgarian, Romanian and Bosnian, so your local oncologist gets a clear account in the language they are most comfortable with.

Start a case

A molecular second opinion, in days.

Securely upload your existing NGS report. Every case is personally reviewed and signed by Prof. Dr. İbrahim Yıldız.

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For physician use · not a diagnostic device
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