Table 1.

MRD and relapse made simple

Relapse status
MRD statusYesNo
Yes Disease persists
Test works! 
Mutations not responsible for pre-malignant transformation and/or
Mutation present in lineage not prone to leukemia and/or
Active immune suppression and/or
Other molecular reprogramming that prevents progression 
No Insufficient test sensitivity and/or
Genetic marker instability and/or
New clone/disease 
No evidence of disease
Test works! 
Relapse status
MRD statusYesNo
Yes Disease persists
Test works! 
Mutations not responsible for pre-malignant transformation and/or
Mutation present in lineage not prone to leukemia and/or
Active immune suppression and/or
Other molecular reprogramming that prevents progression 
No Insufficient test sensitivity and/or
Genetic marker instability and/or
New clone/disease 
No evidence of disease
Test works! 

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