Kidney
- AJT Admin
- Jun 15
- 2 min read

In preparation for the 2026 Banff Meeting to be held Oct 5-9, 2026 in Banff, Canada - we are soliciting input from the international transplant community on guiding the discussions at the in-person meeting. Please share your thoughts on the following questions to each of the sessions in your area of interest listed in the blog: (the full program and registration information for the 2026 Banff meeting can be found here: https://site.pheedloop.com/event/2026banffmeeting/schedule)*
*Some final changes to session and presentation titles might occur.
What are the most important knowledge gaps and/or unmet clinical needs for this session?
What questions would you ask the moderators and speakers at this session?
Lunch Symposium: Mixed rejection phenotypes: Is it time to Revisit Banff? |
Rejection as a spectrum rather than distinct phenotypes |
Interstitial inflammation as a key determinant of outcomes in ABMR |
Blindspots in the rejection classification |
Mixed rejection debate: Do we need a New Banff Category |
What are the most important knowledge gaps and/or unmet clinical needs for this session?
What questions would you ask the moderators and speakers at this session?
Banff Kidney Concurrent I - Artificial Intelligence, Digital Pathology, and Emerging Spatial Technologies in Clinical Diagnostics |
Language models in Pathology and its potential in Transplantation |
Pathomics in kidney transplantation and report of the Karman progress |
BanffNET development and validation |
Results from the DIAGRAF study |
Nanopathology - novel frontiers to discover in transplant kidneys |
Imaging mass cytometry and potential applications in transplant pathology |
Spatial transcriptomics leading to new insights - AMR |
Spatial proteomics leading to new insights in MVI and AMR |
What are the most important knowledge gaps and/or unmet clinical needs for this session?
What questions would you ask the moderators and speakers at this session?
Lunch Symposium # 2 - Time zero biopsies - time to conclude useful or not? |
Setting the stage: global practices in the use of implant biopsies |
The PITHIA trial: lessons learned? |
The Banff Time Zero Biopsies WG – conclusions on the path forward |
What are the most important knowledge gaps and/or unmet clinical needs for this session?
What questions would you ask the moderators and speakers at this session?
Lunch Symposium #3: Activity and chronicity indices to replace the subcategories of active, chronic-active and chronic forms of rejection |
Banff WG updates: Pro Con A/C indices |
Pathologist's A/C indices "pro" argument; including scope of cases to include |
Pathologist's A/C indices "con" argument |
Nephrologist's perspective on the potential use and drawbacks of A/C indices |
What are the most important knowledge gaps and/or unmet clinical needs for this session?
What questions would you ask the moderators and speakers at this session?
Banff Kidney Concurrent II: Updating the Banff Kidney Classification |
Unsolved issues remaining after Banff 2022-2024 |
The v-lesion - important hallmark for rejection classification or innocent bystander? |
Polyomavirus nephropathy - time for an updated classification in light of emerging new therapies? |
The TCMR classification revisited |
AMR/MVI - does the phenotypic spectrum cover reality? |
It is not all rejection - what about other causes of inflammation and scarring? |
From Mixed Patterns to Diagnostic Prioritization: Identifying Primary and Secondary Processes in Banff |
Keeping Banff Globally Relevant: Integrating Innovative and Scalable Tools Across Diverse Resource Settings |
Reflections on the evolving Banff framework - Resuscitating the Fossil |

The question about the value of MMDx and other molecular diagnostics is an important one, which will be a main topic at the Banff meeting. I think we need to define the concrete context where these tolls add measurable value justifying their cost. This requires well designed prospective studies.
Does the use of MMDx improve outcomes? Can the costs be lowered?
Advancing the understanding of the prognostic impact and mechanistic background of lesions below the rejection threshold (i.e. isolated v-lesions, borderline) could help inform about management; especially when to use anti-rejection treatment.