Population-specific RHD screening has a boundary
by Imani Grey
Optimization for an RHD allelic spectrum in China may improve assay fit within the population used for development, but the title alone cannot show which maternal variants, fetal fractions, or inconclusive results were represented. Performance should remain conditional on ancestry and recruitment context, with separate reporting for variant classes, no-calls, and confirmation of fetal or neonatal RHD status. Rare or unmodeled maternal alleles are especially important because an apparent fetal signal can be misclassified when maternal genotype complexity is unresolved.
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