Evidence map›Paper›PMID 29546805›Full record

ArticleMolecular pain

A deep neural network to assess spontaneous pain from mouse facial expressions.

Alexander H Tuttle, Mark J Molinaro, Jasmine F Jethwa, Susana G Sotocinal, Juan C Prieto, Martin A Styner, Jeffrey S Mogil, Mark J Zylka

Open access · goldAbstract read
In one paragraph

Article in Molecular pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
16.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 171 citations in OpenAlex.

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  16. Pharmaceuticals (Basel, Switzerland) · 2025
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Alexander H Tuttle1 Department of Cell Biology and Physiology, UNC Neuroscience Center, The University of North Carolina, Chapel Hill, NC, USA.
Mark J Molinaro1 Department of Cell Biology and Physiology, UNC Neuroscience Center, The University of North Carolina, Chapel Hill, NC, USA.
Jasmine F Jethwa1 Department of Cell Biology and Physiology, UNC Neuroscience Center, The University of North Carolina, Chapel Hill, NC, USA.
Susana G Sotocinal2 Department of Psychology, Alan Edwards Centre for Research on Pain, McGill University, Montreal, QC, Canada.
Juan C Prieto3 Department of Psychiatry, Carolina Institute for Developmental Disabilities, The University of North Carolina, Chapel Hill, NC, USA.
Martin A Styner3 Department of Psychiatry, Carolina Institute for Developmental Disabilities, The University of North Carolina, Chapel Hill, NC, USA.
Jeffrey S Mogil2 Department of Psychology, Alan Edwards Centre for Research on Pain, McGill University, Montreal, QC, Canada.
Mark J Zylka1 Department of Cell Biology and Physiology, UNC Neuroscience Center, The University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USMcGill University · CA

Funding

Postdoctoral Research in Neurodevelopmental DisordersT32HD040127 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENJAMIN D PHILPOT, Mark D Shen · 2001 to 2026
$8.5M
Preclinical CoreU54HD079124 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL · 2013 to 2019
$8.0M
The Elongation Hypothesis of AutismDP1ES024088 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ZYLKA, MARK J. · 2013 to 2017
$3.8M
Lipid kinase regulation of pain signaling and sensitizationR01NS081127 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ZYLKA, MARK J. · 2013 to 2017
$1.6M
NICHD NIH HHS T32 HD040127NICHD NIH HHS U54 HD079124NIEHS NIH HHS DP1 ES024088NINDS NIH HHS R01 NS081127
6 · The paper itself

Abstract

Grimace scales quantify characteristic facial expressions associated with spontaneous pain in rodents and other mammals. However, these scales have not been widely adopted largely because of the time and effort required for highly trained humans to manually score the images. Convoluted neural networks were recently developed that distinguish individual humans and objects in images. Here, we trained one of these networks, the InceptionV3 convolutional neural net, with a large set of human-scored mouse images. Output consists of a binary pain/no-pain assessment and a confidence score. Our automated Mouse Grimace Scale integrates these two outputs and is highly accurate (94%) at assessing the presence of pain in mice across different experimental assays. In addition, we used a novel set of "pain" and "no pain" images to show that automated Mouse Grimace Scale scores are highly correlated with human scores (Pearson's r = 0.75). Moreover, the automated Mouse Grimace Scale classified a greater proportion of images as "pain" following laparotomy surgery when compared to animals receiving a sham surgery or a post-surgical analgesic. Together, these findings suggest that the automated Mouse Grimace Scale can eliminate the need for tedious human scoring of images and provide an objective and rapid way to quantify spontaneous pain and pain relief in mice.

Indexed as

Facial ExpressionAnimalsAutomationHumansMiceNerve NetPainPostoperative CareVideo Recordinganimal modelsfacial expressionsmachine learningSpontaneous pain

Identifiers

PMID29546805
PMCPMC5858615
OpenAlexW2790605163

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.