Table 1: Limitations of CDC-XM [49].

Limitations of CDC-XM
Requires a constant supply of fresh viable donor lymphocytes
Testing process is cumbersome especially in the emergency setting for deceased donor transplants
Low sensitivity with false negative results; caused by low titre DSA, complement inactivation, etc.
Low specificity with false positive results due to autoantibodies, immune complexes, etc.
Non-complement fixing antibodies are not detected
Lack of standardization regarding panel composition among different laboratories