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Agreement of Feline Grimace Scale scores between chatbots and an expert rater.


ABSTRACT: The performance of large language models (LLMs) during acute pain assessment in cats has not been evaluated. This study evaluated the agreement of the Feline Grimace Scale (FGS) scoring between four chatbots (ChatGPT, Gemini, Claude AI, and Perplexity) and an expert veterinarian, including bias and limits of agreement (LoA), and whether bias would be reduced when retested after two months. Fifty cat facial images were scored twice, two months apart, by each chatbot using the FGS (ear position, orbital tightening, muzzle tension, whiskers change and head position). The Bland-Altman method was used to analyze bias and limits of LoA. Chatbots showed positive bias, indicating underestimation of FGS scores. Claude AI presented an acceptable bias (< 0.1) suggesting good agreement after retesting

SUBMITTER: Ngai ST 

PROVIDER: S-EPMC12689790 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature