Discussion: In the longitudinal study of the patient sequentially treated with LMV, ADV, and ETV monotherapies, the blind SD-based algorithm ranked the 7 NA resistance-related aa substitutions previously detected by routine analysis (
rtL180M,
rtM204V,
rtS202G,
rtV207I,
rtA181T,
rtV173L and
rtI169T) as the most variable, and 5 additional NA resistance substitutions (
rtV191I,
rt