“…Because of the difficulties in diagnosis, the utility of MRI has been debated, with some experts advocating its utility in identifying topography and extent of invasion to optimize surgical planning [11], while others have questioned whether it falsely changes management. While both ultrasound and MRI have a reported sensitivity and specificity approaching or above 90% in expert centers [12][13][14], the overall rate of antenatal detection in multiple population-based studies is closer to 30-50% [7,15,16]. In cases of shallow or focal invasion, antenatal diagnosis is especially challenging, even in expert centers, highlighting the pressing need for improved antenatal diagnostic imaging.…”