Table 1.

Comparison of methods for blood group antigen typing

Antibody-based typingDNA-based typing
≤1-h turnaround 24-h turnaround 
Manual Automated 
Fresh RBCs required Any cell source* 
Existing equipment Specialized equipment and environment 
Direct detection of antigen expression Indirect “predicted” antigen expression 
Interference from transfused RBCs or bound IgG No interference from transfused RBCs or bound IgG 
No reagents for some clinically significant antigens Type for any antigen whose genetic basis is known 
Weak/variable antigen expression may be missed Detection of weak antigen expression 
Low resolution High resolution possible 
Antibody-based typingDNA-based typing
≤1-h turnaround 24-h turnaround 
Manual Automated 
Fresh RBCs required Any cell source* 
Existing equipment Specialized equipment and environment 
Direct detection of antigen expression Indirect “predicted” antigen expression 
Interference from transfused RBCs or bound IgG No interference from transfused RBCs or bound IgG 
No reagents for some clinically significant antigens Type for any antigen whose genetic basis is known 
Weak/variable antigen expression may be missed Detection of weak antigen expression 
Low resolution High resolution possible 

IgG, immunoglobulin G.

*

Including fetal typing from cell-free DNA in maternal plasma.

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