ArticlePloS one2021
Pain assessment in horses using automatic facial expression recognition through deep learning-based modeling.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats-A systematic review.Frontiers in veterinary science · 2022Pooled it
- "Do not look at me like that": Is the facial expression score reliable and accurate to evaluate pain in large domestic animals? A systematic review.Frontiers in veterinary science · 2022Pooled it
- Longitudinal welfare assessment in French jump racehorses during season preparation.Equine veterinary journal · 2026Article
- CowPainCheck: AI-based facial expression analysis for dairy cow welfare.Journal of animal science and technology · 2026Review
- Technologies for equine welfare and performance monitoring under field conditions - Where do we stand?Equine veterinary journal · 2026Review
- Smartphone-Based Technologies in Equine Sports Medicine: Supporting Athlete Management-A Review.Sensors (Basel, Switzerland) · 2026Review
- Priorities and Recommendations for Using Artificial Intelligence (AI) to Improve Equid Health and Welfare.Animals : an open access journal from MDPI · 2026Article
- Closed-loop artificial intelligence agents for animal epidemic prediction and decision support in livestock farming: a review.Frontiers in veterinary science · 2026Review
- Agreement of Feline Grimace Scale scores between chatbots and an expert rater.Scientific reports · 2025Article
- Dog facial landmarks detection and its applications for facial analysis.Scientific reports · 2025Article
- Applications and Considerations of Artificial Intelligence in Veterinary Sciences: A Narrative Review.Veterinary medicine and science · 2025Review
- Using deep learning models to decode emotional states in horses.Scientific reports · 2025Article
- Part I: understanding pain in pigs-basic knowledge about pain assessment, measures and therapy.Porcine health management · 2025Review
- Identifying Novel Emotions and Wellbeing of Horses from Videos Through Unsupervised Learning.Sensors (Basel, Switzerland) · 2025Article
- Comparison between AI and human expert performance in acute pain assessment in sheep.Scientific reports · 2025Article
- Clinical interpretation of body language and behavioral modifications to recognize pain in domestic mammals.Frontiers in veterinary science · 2025Review
- Advancing outcome measure development and analytical approaches: Pain in Animals Workshop 2023.Frontiers in pain research (Lausanne, Switzerland) · 2025Review
- Automated acute pain prediction in domestic goats using deep learning-based models on video-recordings.Scientific reports · 2024Article
- The grimace scale: a useful tool for assessing pain in laboratory animals.Experimental animals · 2024Review
- From facial expressions to algorithms: a narrative review of animal pain recognition technologies.Frontiers in veterinary science · 2024Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to develop and evaluate a machine vision algorithm to assess the pain level in horses, using an automatic computational classifier based on the Horse Grimace Scale (HGS) and trained by machine learning method. The use of the Horse Grimace Scale is dependent on a human observer, who most of the time does not have availability to evaluate the animal for long periods and must also be well trained in order to apply the evaluation system correctly. In addition, even with adequate training, the presence of an unknown person near an animal in pain can result in behavioral changes, making the evaluation more complex. As a possible solution, the automatic video-imaging system will be able to monitor pain responses in horses more accurately and in real-time, and thus allow an earlier diagnosis and more efficient treatment for the affected animals. This study is based on assessment of facial expressions of 7 horses that underwent castration, collected through a video system positioned on the top of the feeder station, capturing images at 4 distinct timepoints daily for two days before and four days after surgical castration. A labeling process was applied to build a pain facial image database and machine learning methods were used to train the computational pain classifier. The machine vision algorithm was developed through the training of a Convolutional Neural Network (CNN) that resulted in an overall accuracy of 75.8% while classifying pain on three levels: not present, moderately present, and obviously present. While classifying between two categories (pain not present and pain present) the overall accuracy reached 88.3%. Although there are some improvements to be made in order to use the system in a daily routine, the model appears promising and capable of measuring pain on images of horses automatically through facial expressions, collected from video images.
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Registered trials
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.