Changes in latency of evoked potentials (EP) may indicate clinically and diagnostically important changes in the status of the nervous system. A low signal-to-noise ratio of the EP signal makes it difficult to estimate small, transient, time-varying changes in latency, or delays. Here, we present an adaptive algorithm that estimates small delay (latency change) values even when EP signal amplitudes are time-varying. When the delay is time invariant, the adaptive algorithm produces an unbiased estimate with delay estimation error less than half of the sampling interval. A lower estimation error variance is obtained when, in a pair of signals, the adaptive algorithm delays the signal with the higher SNR. The adaptive algorithm delays the signal with the higher SNR. The adaptive delay estimation algorithm was tested on intra-operative recordings of somatosensory EP, and analysis of those recordings reveals that the anesthetic etomidate produces a step change in the amplitude and latency of the EP signals.
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