Balancing efficiency and diagnostic fidelity in SEP monitoring.

Abstract

A recent study introduced a patient-specific algorithm designed to reduce the acquisition time required for obtaining somatosensory evoked potentials during spinal surgery. While the approach is promising, its reliance on amplitude and latency thresholds may overlook subtle waveform features that are crucial in high-risk patients. Broader validation, integration of waveform morphology, and cautious application in clinically compromised populations are warranted. Optimizing intraoperative neurophysiological monitoring requires not only speed but also diagnostic fidelity.