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224Chapter12toadequatelyandaccuratelyevaluatethecranialchangebetweenthepresentandearliermomentsthischangedoesnotsayanythingaboutthecorrectiveshapeoftheredressionhelmetForexampleifwedetectanundesirablechangeofshapewecannotdeterminewhetherthisiscausedbyawronghelmetdesignorsomethingelseIfwecouldincludethedesignofthehelmetinthisprocesswewouldbeabletomonitortreatmentandcheckwhetherthehelmethassufficientredressingpotentialleft Thereforetheexchangeof3DinformationbetweentheCFA-teamandthehelmetorthoptistscouldleadtointerestinginsightsandcouldimprovecollaborationbetweenpatientsandcareprovidersTheredressionhelmetofthefuturemightbeasmarthelmetNestingvarioussensorsintothehelmetcouldimprovethetherapyandlowertheburdenForexampleheatsensorsin thehelmet couldinformparents whenhead temperaturebecomestoohighwhichmightbeusefulduringfeverorinextremesummertemperaturesPressuresensorscouldtellparentswhenitistimetovisitthehelmetorthotistandalsohelptheorthotiststodiagnosewherethehelmetneedsfurtheradjustmentsInadditionsthissmarthelmetcouldaccuratelymonitorhowmuchthehelmetisactuallywornbythepatientduringtreatmentandthereforegenerateimportantdataforfutureresearchInChapter11wedemonstratedhowa3DtechniquecouldbeusedforthepostoperativeevaluationofindividualcasesofopenreconstructivesurgeryandhowithelpedourteamtoimproveandunderstandtheplanningtransferandsurgeryofopencranialvaultreconstructionsIncombinationChapters10and11providedtheanswertothefinalresearchquestionsCould3DtechniquesbeusedtoevaluatesurgeryandtreatmentoutcomesCouldthisbeimplementedanddoesthisbenefitthetreatmentof(new) patientsAndwiththisthecyclebetweendiagnosis–planning–surgeryandevaluationiscompletedFINAL WORDSThroughoutthevariouspartsandchaptersthisthesisevaluatedandimprovedtheclinicalcareandcureofcraniosynostosispatientsbyusing3D technology ThefourpartsofthisthesisformthegeartrainthatrepresentsaclinicalprocessThepresentedinnovationsdidnotonlyadvancetheoperationoftheindividualgear