The monitor in every operating room measures whether the brain is talking to itself. We measure whether it is still listening to the room.
SDP is a spectral depth proxy — log alpha over delta, anchored to this patient's own awake baseline. It is what today's monitors compute.
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Reconstructed trace — illustrative
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Aim a simulated beam at the thalamus and drive delta. The index falls — not because anything happened to consciousness, but because delta sits in its denominator.
Replaying real EEG (EEGLAB sedation recordings) with real SDP math, in the Chennu et al. 2016 file contract (n=20, propofol sedation). SDP is a spectral proxy, not BIS. The cortical surface is a scalp projection, not source localization.