The Expanding Role of Artificial Intelligence in Companion Animal Care: A Systematic Review.

The rapid increase in companion animal ownership has intensified the demand for innovative tools that support animal health and overall welfare. In recent years, artificial intelligence (AI), particularly machine learning (ML) and deep learning (DL), has emerged as a promising approach in veterinary medicine. However, its application beyond clinical diagnostics, especially in behaviour and personality assessment, remains fragmented and insufficiently integrated into routine practice. This systematic review aims to synthesise current knowledge on AI-based applications in companion animal care, with a focus on behavioural monitoring, personality prediction, and welfare-related challenges. Following PRISMA guidelines, a structured literature search was conducted in the Scopus and PubMed databases from 2020 to 2025. In addition, grey literature sources were searched to capture relevant non-peer-reviewed data. A total of 115 studies met the inclusion criteria and were included in the analysis. Eligibility criteria included studies applying AI methods (machine learning or deep learning) to companion animals (dogs, cats, and exotic pets), while studies on humans, farm animals, or without AI methods were excluded. Due to the heterogeneity of included studies, no formal risk of bias assessment was performed, and results were synthesised narratively. The findings indicate that AI applications are most advanced in diagnostic imaging and clinical decision support, where data availability and methodological maturity are highest. In contrast, AI-based approaches for behaviour and personality prediction remain limited, particularly in cats and exotic companion animals, largely due to small, heterogeneous datasets, potential bias, and a lack of external validation. Emerging technologies such as wearable sensors, computer vision, and multimodal data integration demonstrate substantial potential for continuous behavioural monitoring and early detection of welfare-related issues in real household environments. Nevertheless, significant challenges persist, including data heterogeneity, limited model explainability, ethical considerations, and the absence of regulatory frameworks specifically addressing AI-based veterinary applications. Overall, this review highlights a substantial gap between the technical potential of AI and its current readiness for widespread application in companion animal behaviour and welfare assessment. Future research should prioritise large-scale and standardised data collection, cross-species validation, and interdisciplinary collaboration to ensure that AI-driven tools effectively support veterinary decision-making, animal welfare, and the well-being of owners.