Racing exercise poses a significant risk of musculoskeletal injury in horses. Risk of catastrophic injury with subsequent euthanasia can be high at certain locations across the world. For horse racing to maintain its social license with the public, it is important to avoid injuries occurring in Thoroughbred racehorses. The use of this advanced veterinary technology for early detection and management of musculoskeletal injuries can move us towards a new standard of care for Thoroughbred racehorses. In this paper, we provide a brief description of the key features of the Equina® system, and its use in pre-race screening.