Table 1.

Pros and cons of different approaches to BCR-ABL testing in low-resource areas

StrategyProsCons
Home brew assay Optimized to specific laboratory needs, locally sensitive and reproducible Highly technical training, expensive machines and reagents, often performs worse at new locations 
(Semi-)automated assays Less technical training needed, reagents self-contained, can be run without batching, quick Machines and cartridges are expensive to buy and maintain 
Shipping to specialized centers Standardized testing often means better assay performance Shipping is very expensive, samples can be compromised, reliance on others 
StrategyProsCons
Home brew assay Optimized to specific laboratory needs, locally sensitive and reproducible Highly technical training, expensive machines and reagents, often performs worse at new locations 
(Semi-)automated assays Less technical training needed, reagents self-contained, can be run without batching, quick Machines and cartridges are expensive to buy and maintain 
Shipping to specialized centers Standardized testing often means better assay performance Shipping is very expensive, samples can be compromised, reliance on others 
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