For instance, for your example: "X plus B quantity squared" or "x + b squared"
You can also do things like change the pitch of speech as symbols are nested, play specific tones to represent symbols, pan things across the stereo field to represent groupings, and otherwise make the symbolic equation into a multimodal experience.
But of course, you can't do any of this if the semantic representation of the equation is lost and it is rendered as strictly graphics or whatever.
I'm a bit confused to your original point about visualization because how ever in the world could I program if I couldn't abstractly manipulate symbols? I suppose not visually, but there's something non-word-oriented happening in my head.