Michael Rauh, PhD, MD, FRCPC, Queen’s University School of Medicine, Kingston, Canada, discusses the latest genomic updates in myelodysplastic syndromes (MDS). Dr Rauh explains that the recent discovery of a set of recurring mutations associated with MDS – mainly affecting RNA splicing and epigenetics – are being integrated into traditional prognostic methods. Targeted sequencing panels and optical genomics techniques are also being developed to detect molecular aberrations in the context of MDS and may slowly replace traditional cytogenetic techniques like FISH and karyotyping. This interview took place at the 16th International Congress on Myelodysplastic Syndromes, held virtually in 2021.