AccScience Publishing / TD / Online First / DOI: 10.36922/TD025350087
REVIEW ARTICLE

Autonomous edge artificial intelligence for remote cancer diagnosis in low-resource settings: A structured narrative review and deployment roadmap

Peter Ode Oto1*
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1 Department of Public Health and Healthcare, Faculty of Preventive Medicine, First Moscow State Medical University, Moscow, Russia
Tumor Discovery, 025350087 https://doi.org/10.36922/TD025350087
Received: 30 August 2025 | Revised: 10 December 2025 | Accepted: 5 January 2026 | Published online: 29 April 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Timely cancer diagnosis remains a critical challenge in resource-limited settings due to infrastructural deficits. Previous reviews have broadly examined artificial intelligence (AI) in diagnostics, but less attention has been paid to offline systems. This review provides a consolidated synthesis focused specifically on fully offline, edge-deployed systems for cancer detection. Such systems execute autonomous, on-device inference without cloud dependency, a vital capability for deployment where connectivity is unreliable. A structured search of databases and gray literature from August to December 2025 identified 450 records. After screening, evidence from 31 studies meeting the inclusion criteria was synthesized; these encompassed cervical, breast, prostate, skin, and oral cancers. The quantitative evidence confirms that edge-deployed models can maintain clinical-grade diagnostic accuracy while enabling rapid point-of-care use. Key findings indicate that through optimization techniques such as INT8 quantization, diagnostic performance in tasks such as segmentation can be preserved with a reduction of less than 3% compared to standard models, as demonstrated in adapted U-Net architectures. Concurrently, these streamlined models achieved inference speeds above 155 frames per second on embedded hardware such as the NVIDIA Jetson, enabling real-time analysis. This review establishes that the combination of robust accuracy and high-speed offline operation is technically feasible. It thereby offers an evidence-based framework for utilizing edge AI to expand access to early cancer detection in underserved populations globally.

Keywords
Edge artificial intelligence
Cancer diagnostics
Low-resource settings
Remote pathology
Point-of-care imaging
Portable microscopy
Digital pathology
Healthcare innovation
Funding
None.
Conflict of interest
The author declares no conflicts of interest.
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Tumor Discovery, Electronic ISSN: 2810-9775 Print ISSN: 3060-8597, Published by AccScience Publishing