Table 2.

Molecular diagnostic methods for MTB detection and DST.

MethodDetection capabilityTurnaround timeMolecular targetValidation stageReferences
qPCR
(e.g. Xpert MTB/RIF)
MTB detection, RIF resistance<2 hrpoBWHO-endorsed,
routine clinical use
(Cao et al. 2021, WHO 2024b)
Melting curve analysisDrug resistance mutation detection2–4 hrpoB, katG, ahpC,inhALimited clinical use(Xie et al. 2024)
RDBHMTB detection, drug resistance profiling4–7 hrpoB, katG, embB, inhA, gyrALimited clinical use(Wan et al. 2020)
ddPCRQuantification of MTB, low-abundance mutation detection3–6 hrpoB, katG, inhA, gyrAExperimental(Fan et al. 2022)
LAMP
(e.g. TB-LAMP)
MTB detection<1 hgyrB, IS6110WHO-endorsed,
limited clinical use
(Yadav et al. 2022)
RPAMTB detection, drug resistance screening<20 minIS6110, rpoBExperimental(Jirakittiwut et al. 2025)
DNA microarraysMTB detection, resistance mutation screening6–12 hrpoB, katG, embB, inhA, gyrA, pncA, eisExperimental(Feng et al. 2021)
Gene sequencing (NGS, WGS)Comprehensive resistance profiling24–72 hWhole MTB genomeWHO-endorsed
(tNGS only)
(Chen et al. 2024)
CRISPRMTB detection, resistance mutation screening<2 hrpoB, katG, inhA, gyrAExperimental(Tram et al. 2023, Wang et al. 2024)
MethodDetection capabilityTurnaround timeMolecular targetValidation stageReferences
qPCR
(e.g. Xpert MTB/RIF)
MTB detection, RIF resistance<2 hrpoBWHO-endorsed,
routine clinical use
(Cao et al. 2021, WHO 2024b)
Melting curve analysisDrug resistance mutation detection2–4 hrpoB, katG, ahpC,inhALimited clinical use(Xie et al. 2024)
RDBHMTB detection, drug resistance profiling4–7 hrpoB, katG, embB, inhA, gyrALimited clinical use(Wan et al. 2020)
ddPCRQuantification of MTB, low-abundance mutation detection3–6 hrpoB, katG, inhA, gyrAExperimental(Fan et al. 2022)
LAMP
(e.g. TB-LAMP)
MTB detection<1 hgyrB, IS6110WHO-endorsed,
limited clinical use
(Yadav et al. 2022)
RPAMTB detection, drug resistance screening<20 minIS6110, rpoBExperimental(Jirakittiwut et al. 2025)
DNA microarraysMTB detection, resistance mutation screening6–12 hrpoB, katG, embB, inhA, gyrA, pncA, eisExperimental(Feng et al. 2021)
Gene sequencing (NGS, WGS)Comprehensive resistance profiling24–72 hWhole MTB genomeWHO-endorsed
(tNGS only)
(Chen et al. 2024)
CRISPRMTB detection, resistance mutation screening<2 hrpoB, katG, inhA, gyrAExperimental(Tram et al. 2023, Wang et al. 2024)

qPCR, quantitative real-time PCR; RDBH, reverse dot blot hybridization; ddPCR, droplet digital PCR; LAMP, loop-mediated isothermal amplification; and RPA, recombinase polymerase amplification.

Table 2.

Molecular diagnostic methods for MTB detection and DST.

MethodDetection capabilityTurnaround timeMolecular targetValidation stageReferences
qPCR
(e.g. Xpert MTB/RIF)
MTB detection, RIF resistance<2 hrpoBWHO-endorsed,
routine clinical use
(Cao et al. 2021, WHO 2024b)
Melting curve analysisDrug resistance mutation detection2–4 hrpoB, katG, ahpC,inhALimited clinical use(Xie et al. 2024)
RDBHMTB detection, drug resistance profiling4–7 hrpoB, katG, embB, inhA, gyrALimited clinical use(Wan et al. 2020)
ddPCRQuantification of MTB, low-abundance mutation detection3–6 hrpoB, katG, inhA, gyrAExperimental(Fan et al. 2022)
LAMP
(e.g. TB-LAMP)
MTB detection<1 hgyrB, IS6110WHO-endorsed,
limited clinical use
(Yadav et al. 2022)
RPAMTB detection, drug resistance screening<20 minIS6110, rpoBExperimental(Jirakittiwut et al. 2025)
DNA microarraysMTB detection, resistance mutation screening6–12 hrpoB, katG, embB, inhA, gyrA, pncA, eisExperimental(Feng et al. 2021)
Gene sequencing (NGS, WGS)Comprehensive resistance profiling24–72 hWhole MTB genomeWHO-endorsed
(tNGS only)
(Chen et al. 2024)
CRISPRMTB detection, resistance mutation screening<2 hrpoB, katG, inhA, gyrAExperimental(Tram et al. 2023, Wang et al. 2024)
MethodDetection capabilityTurnaround timeMolecular targetValidation stageReferences
qPCR
(e.g. Xpert MTB/RIF)
MTB detection, RIF resistance<2 hrpoBWHO-endorsed,
routine clinical use
(Cao et al. 2021, WHO 2024b)
Melting curve analysisDrug resistance mutation detection2–4 hrpoB, katG, ahpC,inhALimited clinical use(Xie et al. 2024)
RDBHMTB detection, drug resistance profiling4–7 hrpoB, katG, embB, inhA, gyrALimited clinical use(Wan et al. 2020)
ddPCRQuantification of MTB, low-abundance mutation detection3–6 hrpoB, katG, inhA, gyrAExperimental(Fan et al. 2022)
LAMP
(e.g. TB-LAMP)
MTB detection<1 hgyrB, IS6110WHO-endorsed,
limited clinical use
(Yadav et al. 2022)
RPAMTB detection, drug resistance screening<20 minIS6110, rpoBExperimental(Jirakittiwut et al. 2025)
DNA microarraysMTB detection, resistance mutation screening6–12 hrpoB, katG, embB, inhA, gyrA, pncA, eisExperimental(Feng et al. 2021)
Gene sequencing (NGS, WGS)Comprehensive resistance profiling24–72 hWhole MTB genomeWHO-endorsed
(tNGS only)
(Chen et al. 2024)
CRISPRMTB detection, resistance mutation screening<2 hrpoB, katG, inhA, gyrAExperimental(Tram et al. 2023, Wang et al. 2024)

qPCR, quantitative real-time PCR; RDBH, reverse dot blot hybridization; ddPCR, droplet digital PCR; LAMP, loop-mediated isothermal amplification; and RPA, recombinase polymerase amplification.

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