A comprehensive review of efficient deep learning for clinical medical imaging deployment

Abstract Deep learning has revolutionized medical image analysis, playing a vital role in modern clinical applications. However, the deployment of large-scale models in real-world clinical settings remains challenging due to high computational costs, latency constraints, and patient data privacy concerns associated with cloud-based processing. To address these bottlenecks, this review provides a comprehensive synthesis of efficient and lightweight deep learning architectures specifically tailored for the medical domain. We categorize the landscape of modern efficient models into three primary streams: Convolutional Neural Networks (CNNs) for local inductive bias, Lightweight Transformers for global context under constrained attention, and emerging Linear Complexity Models for scalable global context. Furthermore, we examine key model compression strategies (including pruning, quantization, knowledge distillation, and low-rank factorization) and evaluate their efficacy in maintaining diagnostic performance while reducing hardware requirements. By identifying current limitations and discussing the transition toward on-device intelligence, this review serves as a roadmap for researchers and practitioners aiming to bridge the gap between high-performance AI and resource-constrained clinical environments.