| IVW | Inverse-variance weighted regression through origin. Assumes all instruments are valid (no pleiotropy). The primary estimate. |
| MR-Egger | Regression with intercept. Intercept ≠ 0 indicates directional pleiotropy. Relies on InSIDE assumption (instrument strength independent of direct effect). |
| Weighted Median | Consistent when ≥50% of weight comes from valid instruments. Robust to outliers. |
| Simple Median | Unweighted median of Wald ratios. Consistent when ≥50% of instruments are valid. |
| MR-PRESSO | Detects and corrects for horizontal pleiotropy outliers. Global test + outlier removal + distortion test. |
| MR-RAPS | Robust Adjusted Profile Score (Zhao et al. 2020). Iterative profile score with overdispersion. More robust than IVW under weak instruments. |
| Mode-based | Hartwig et al. 2017. Weighted kernel density mode of Wald ratios. Consistent if plurality (not majority) of instruments are valid. |
| Contamination Mixture | Profile likelihood classifying instruments as valid/invalid. Robust to mixed validity. |
| Radial MR | Bowden et al. 2018. Transforms to radial coordinates for more reliable outlier detection via modified Cochran's Q. Radial IVW (through origin) and Radial MR-Egger (with intercept). |
| MR-Clust | Foley et al. 2021. Clusters Wald ratios via k-means with BIC selection to identify distinct causal mechanisms or pleiotropic pathways. |
| Q Decomposition | Bowden et al. 2019. Splits Cochran's Q into balanced (non-directional) and unbalanced (directional pleiotropy) components. |
| Reverse MR | Bidirectional test swapping exposure and outcome to check for reverse causation or shared pathways. |
| Conditional F | Sanderson et al. 2019. Adjusts F-statistic for pleiotropy. F_cond > 10 for reliable inference. |
| Outlier-Robust IVW | Penalized IVW using Huber weights (k=1.345) to downweight outlier SNPs iteratively. |
| MR-Lasso | Rees et al. 2019. L1-penalized regression estimating SNP-specific pleiotropy. Classifies instruments as valid (gamma=0) or pleiotropic. Lambda by BIC. |
| Anderson-Rubin | Weak-instrument robust CI by inverting the AR chi-squared test. Valid even when F < 10, unlike standard Wald CIs. |
| Fieller's theorem | Solves the quadratic for the ratio estimator CI. Can yield bounded, unbounded, or empty CIs depending on instrument strength. |
| Model Averaging | Burgess et al. 2020. Weights IVW, Egger, median, mode by exp(-Q/2). More robust than choosing a single method. |
| Sargan/Hansen | Overidentification test. Sequential removal of worst-fitting SNP until Q passes. Identifies valid instrument subset. |
| MR-PEN | Pleiotropy-robust penalized IVW with adaptive Lasso weights targeting pleiotropic outliers more aggressively than Huber. |