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Updated: Jan 18, 2026

Ultrasonic Assessment of Myocardial Microstructure
Published on: January 14, 2014
Exploring spatial understanding and cognitive load using ultrasound in learning cardiac anatomy: A pilot study
Johanna Maria de Lange1, Karin J Baatjes2, Wouter Willaert3,4
1Division of Clinical Anatomy, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Ultrasound (US) training significantly improved cardiovascular system (CVS) anatomy knowledge and spatial understanding (SU) in students. The learning process effectively managed cognitive load (CL), indicating US is a valuable tool for anatomy education.
Area of Science:
- Medical Education
- Anatomy
- Diagnostic Imaging
Background:
- Traditional anatomy teaching lacks objective efficacy data for ultrasound (US).
- Existing research often relies on student perceptions, not performance outcomes.
- The impact of US on spatial understanding (SU) and cognitive load (CL) in anatomy education is underexplored.
Purpose of the Study:
- To objectively assess the efficacy of ultrasound (US) in enhancing anatomy education.
- To evaluate the effect of US training on students' spatial understanding (SU).
- To analyze the cognitive load (CL) experienced by students during US-based anatomy learning.
Main Methods:
- A study involving 31 students assessed spatial understanding (SU) and cardiovascular system (CVS) anatomy knowledge before and after an US session.
- The session included an introduction to US physics, practical demonstrations, and hands-on cardiac anatomy practice.
- Cognitive load (CL) was measured using a standardized questionnaire post-session.
Main Results:
- Cardiovascular system (CVS) anatomy knowledge increased by 11.33% (p < 0.05).
- Spatial understanding (SU) scores improved significantly, from 65.71% to 81.04% (p < 0.05).
- Students reported high perceived learning (germane load) and low distraction (extraneous load), indicating effective cognitive load management.
Conclusions:
- Ultrasound (US) training is an effective method for improving anatomy knowledge and spatial understanding (SU).
- US-based anatomy instruction appears to manage cognitive load (CL) effectively, enhancing the learning experience.
- Ultrasound (US) holds significant potential to improve anatomy education outcomes and prepare students for clinical practice.
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