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Disclosures: Jasmohan Bajaj: Bausch: Grant/Research Support, Sequana: Grant/Research Support, Cosmo: Grant/Research Support, Grifols: Grant/Research Support, Isobel Jane Cox: Nothing to Disclose, Mette Munk Lauridsen: Nothing to Disclose, Adrien Le Guennec: Nothing to Disclose, Andrew Fagan: Nothing to Disclose, Geena George: Nothing to Disclose, Amy Bartels: Nothing to Disclose, Thresiamma Lukose: Nothing to Disclose, Elizabeth Verna: Nothing to Disclose 1310 ASSESSING LIVER TRANSPLANT REJECTION USING PAIRED BLOOD AND BIOPSY SAMPLES Katelynn Madill-Thomsen 1 Jeff Reeve 1 Sunil Kurian 2 Philip Halloran 1 Josh Levitsky 3 , 1 University of Alberta, 2 Scripps Health/Scripps Clinic Bio-Repository and Bioinformatics Core, 3 Northwestern University Background: Blood- based molecular assessments for liver transplant rejection are being evaluated for their predictive capability in guiding immunosuppression management

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The technique is learnable, but the decisions around it (do you actually need it, what dose, how often, and is something else being missed) are medical judgements, and getting them wrong carries real cost

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