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34 and the video conferencing MDT was £54 392.50 representing a cost saving of 48.9%. Participants rated the effectiveness of conducing a remote MDT and the ease of technology use as very good. Conclusions Video conferencing systems provide a highly cost-effective method of facilitating MDT meetings between cardiologists and cardiac surgeons at remote centres.The modern domestic dog (Canis lupus familiaris) provides an excellent model to examine the effects of cranial modification. Extreme variation in skull length among dog breeds due