From:  Innovations in hydrocephalus modeling: bridging animal models, bioengineering platforms, and precision therapies

 Summary of future directions, challenges, and priorities in hydrocephalus research.

AreaFuture directionsKey challengesReferences
Human-relevant modelsMulti-scale organoids, OOC platformsComplexity, validation, scalability[35, 36, 39]
Precision medicineiPSC and CRISPR/Cas9-based therapies, AI-integrationData integration, personalized delivery[143146, 150]
Ethical & regulatory3Rs compliance, translational ethics, patient/public engagementRegulatory approval, trial design, and long-term safety[125127]
Global collaboration & dataInternational consortia, FAIR data standardsHarmonization, reproducibility[139, 142]
Economic & equitable accessCost-effectiveness, global access to therapiesInfrastructure, affordability[147149]

The table outlines the main future directions in hydrocephalus research, including the establishment of dynamic, multi-scale organoid and OOC models, use of methods of precision medicine such as personal therapies based on iPSCs and CRISPR coupled with AI, adherence to ethical and regulatory values such as the 3Rs and patient/public participation, and consideration of equitable access and cost-effectiveness of therapies. International collaboration, data sharing, and FAIR principles are highlighted as essential in allowing harmonization, reproducibility, and regulatory convergence. 3Rs: replacement, reduction, and refinement; FAIR: Findable, Accessible, Interoperable, Reusable; iPSC: induced pluripotent stem cell; OOC: organ-on-chip.