One thing it glosses over is how the format responds to greater range. It acknowledges the fact that only 3 of piano's ~7 octaves are shown, but it doesn't address how much difficult it would be to read if there were notes in both the C2 octave and C6 octave at the same time. It gets much more difficult to line up the timing in that case because your eyes would be scanning frantically every note.
In traditional sheet music, notes played at the same time are never more than an inch or two apart. Will this format support sheet music's equivalent of 8va to keep notes properly within visual range?