Fig. 4

Lagged sequential analysis of the scan path before and after instruction

The A-M codes in the left and middle columns represent the corresponding anatomical locations in the right column. The numerical values presented in these two figures show the Z score of each behaviour sequence. The larger the value of Z, the more pronounced the reading pattern is. In case 1, the image reading patterns of the medical students were localized at the upper portion of the image before instruction (A), but became more widespread circling the areas between bilateral hemispheres and left basal ganglia post-test (B). In case 2, the medical students’ reading behaviour showing a bilateral symmetric reading pattern was restrict to the upper and lower portions before instruction (C), but changed to the upper, middle, and lower portions post-test (D)

^#Arrows in the figures indicate the target lesions