It is a crafted helm, that rolled with +3 barb skills, %enhanced defense (caps at 200%, but some so you can MO it to 200, you don't want helm with 0 defense, because you can only add 75% from MO, we want high defense items), then roll all stats, like these gloves linked few pages back, 30 all stats, and then whatever comes with shrines extra +%vitality/+flat vitality if you used quiet shrine, OR +%dexterity/+flat dexterity and +%attack rating, that comes from abadoned shrine.
But TU4 helm is very good so don't worry about it.