Pluym ID, Afshar Y, Holliman K, et al. - Researchers conducted this prospective observational study to assess the accuracy of an automated three‐dimensional (3D) ultrasound technique vs manual acquisition of five fetal intracranial measurements. The sample consisted of women (n = 143) presenting for the routine anatomical survey between 18’0‐22’6 weeks. Following informed consent, each patient underwent two consecutive fetal head ultrasounds from a sonographer and a physician who collected manual measurements of the biparietal diameter (BPD), head circumference (HC), transcerebellar diameter (TCD), cisterna magna (CM) and posterior horn of the lateral ventricle (Vp), followed by measurements using SonoCNS. Data reported that the median BMI was 24.0 kg/m² and the median subcutaneous thickness was 1.6 cm. Findings suggested no association of fetal lie, head position, placental location, maternal subcutaneous thickness and previous surgical history with the success or accuracy of the automated application. The fetal brain's automated 3D ultrasound imaging techniques consistently detected and assessed BPD and HC but were less effective in accurately determining the TCD, CM or Vp. Although motivating, prior to integration into routine sonographic protocols, further optimization of the automated technology is required.