Enhancing Diagnostic Accuracy in Nigerian Hospitals: Analysis of Deep Learning Applications in Medical Imaging
DOI:
https://doi.org/10.33003/fjs-2026-10(ANB-K)-5193Keywords:
Deep learning, medical imaging, nigeria, artificial intelligenceAbstract
Nigeria faces a critical shortage of radiologists and other medical specialists, creating significant challenges for timely and accurate diagnosis, particularly in underserved and rural healthcare settings. Medical imaging plays a central role in disease detection and management, yet the growing demand for diagnostic services often exceeds available human resources. Recent advances in deep learning, a subset of artificial intelligence, have demonstrated considerable potential in automating image analysis and supporting clinical decision-making. However, the extent of its application and readiness for implementation within Nigerian healthcare institutions remain insufficiently explored. This systematic review examines the current state of deep learning applications in medical imaging relevant to Nigerian healthcare. Specifically, it evaluates diagnostic performance, identifies commonly used deep learning architectures and imaging modalities, assesses implementation challenges, and highlights opportunities for future research and clinical adoption. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was performed across PubMed, IEEE Xplore, Scopus, and Google Scholar for studies published between 2015 and 2025. Eligible studies reported the development, validation, or application of deep learning models for medical imaging tasks relevant to Nigerian healthcare contexts. Study selection followed predefined inclusion and exclusion criteria.
References
Abubakar, M. Z., Kaya, M., Eriş, M., Abubakar, M. M., Karakuş, S., & Sani, K. J. (2024). Automated tuberculosis classification with chest X-rays using deep neural networks—Case study: Nigerian public health. Turkish Journal of Science and Technology, *19*(1), 55-64.
Pinto-Coelho, L. (2023). How artificial intelligence is shaping medical imaging technology: A survey of innovations and applications. Bioengineering, 10(12), 1435. https://doi.org/10.3390/bioengineering10121435
Ardila, D., Kiraly, A. P., Bharadwaj, S., Choi, B., Reicher, J. J., Peng, L., Tse, D., Etemadi, M., Ye, W., Corrado, G., Naidich, D. P., & Shetty, S. (2019). End-to-end lung cancer screening with three-dimensional deep learning on low-dose chest computed tomography. Nature Medicine, *25*(6), 954-961. https://doi.org/10.1038/s41591-019-0447-x
Beede, E., Baylor, E., Hersch, F., Iurchenko, A., Wilcox, L., Ruamviboonsuk, P., & Vardoulakis, L. M. (2020). A human-centered evaluation of a deep learning system deployed in clinics for the detection of diabetic retinopathy. Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems, 1-12. https://doi.org/10.1145/3313831.3376718
Bommasani, R., Hudson, D. A., Adeli, E., Altman, R., Arora, S., von Arx, S., Bernstein, M. S., Bohg, J., Bosselut, A., Brunskill, E., Brynjolfsson, E., Buch, S., Card, D., Castellon, R., Chatterji, N., Chen, A., Creel, K., Davis, J. Q., Demszky, D., ... Liang, P. (2021). On the opportunities and risks of foundation models (Technical Report No. CRFM-2021-001). Stanford Center for Research on Foundation Models. https://arxiv.org/abs/2108.07258
Dosovitskiy, A., Beyer, L., Kolesnikov, A., Weissenborn, D., Zhai, X., Unterthiner, T., Dehghani, M., Minderer, M., Heigold, G., Gelly, S., Uszkoreit, J., & Houlsby, N. (2021). An image is worth 16x16 words: Transformers for image recognition at scale. International Conference on Learning Representations. https://openreview.net/forum?id=YicbFdNTTy
Ele, S. I., Alo, U. R., Nweke, H. F., Okemiri, A. H., & Uche-Nwachi, E. O. (2025). Deep convolutional neural network (DCNN)-based model for pneumonia detection using chest X-ray images. Journal of the Nigerian Society of Physical Sciences, *7*(2). https://doi.org/10.46481/jnsps.2025.2128
Esteva, A., Robicquet, A., Ramsundar, B., Kuleshov, V., DePristo, M., Chou, K., Cui, C., Corrado, G., Thrun, S., & Dean, J. (2019). A guide to deep learning in healthcare. Nature Medicine, *25*(1), 24-29. https://doi.org/10.1038/s41591-018-0316-z
Gulshan, V., Peng, L., Coram, M., Stumpe, M. C., Wu, D., Narayanaswamy, A., Venugopalan, S., Widner, K., Madams, T., Cuadros, J., Kim, R., Raman, R., Nelson, P. C., Mega, J. L., & Webster, D. R. (2016). Development and validation of a deep learning algorithm for detection of diabetic retinopathy in retinal fundus photographs. JAMA, *316*(22), 2402-2410. https://doi.org/10.1001/jama.2016.17216
Hosny, A., Parmar, C., Quackenbush, J., Schwartz, L. H., & Aerts, H. J. W. L. (2018). Artificial intelligence in radiology. Nature Reviews Cancer, *18*(8), 500-510. https://doi.org/10.1038/s41568-018-0016-5
International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). https://www.diabetesatlas.org
Isewon, I., Alagbe, E., & Oyelade, J. (2025). Optimizing machine learning performance for medical imaging analyses in low-resource environments: The prospects of CNN-based feature extractors. F1000Research, *14*, 100. https://doi.org/10.12688/f1000research.159123.1
Jedy-Agba, E., Curado, M. P., Ogunbiyi, O., Oga, E., Fabowale, T., Igbinoba, F., Osubor, G., Otu, T., Kumai, H., Koechlin, A., Osinubi, P., Dakum, P., Blattner, W., & Adebamowo, C. A. (2016). Cancer incidence in Nigeria: A report from population-based cancer registries. Cancer Epidemiology, *45*, 74-82. https://doi.org/10.1016/j.canep.2016.10.008
Kinyanjui, N. M., Odonga, T., Cintas, C., Codella, N. C. F., Panda, R., Sattigeri, P., & Varshney, K. R. (2020). Fairness of classifiers across skin tones in dermatology. Proceedings of the International Conference on Medical Image Computing and Computer-Assisted Intervention, *12261*, 320-329. https://doi.org/10.1007/978-3-030-59710-8_31
Litjens, G., Kooi, T., Bejnordi, B. E., Setio, A. A. A., Ciompi, F., Ghafoorian, M., van der Laak, J. A. W. M., van Ginneken, B., & Sánchez, C. I. (2017). A survey on deep learning in medical image analysis. Medical Image Analysis, *42*, 60-88. https://doi.org/10.1016/j.media.2017.07.005
McKinney, S. M., Sieniek, M., Godbole, V., Godwin, J., Antropova, N., Ashrafian, H., Back, T., Chesus, M., Corrado, G. S., Darzi, A., Etemadi, M., Garcia-Vicente, F., Gilbert, F. J., Halling-Brown, M., Hassabis, D., Jansen, S., Karthikesalingam, A., Kelly, C. J., King, D., ... & Shetty, S. (2020). International evaluation of an AI system for breast cancer screening. Nature, *577*(7788), 89-94. https://doi.org/10.1038/s41586-019-1799-6
Mollura, D. J., Culp, M. P., & Pollack, E. (2020). Radiology in global health: Strategies, implementation, and applications (2nd ed.). Springer. https://doi.org/10.1007/978-3-030-36177-2
Musa, A., Prasad, R., Onwualu, P., & Hernandez, M. (2026). A systematic review of cross-population shifts in medical imaging analysis with deep learning. Big Data and Cognitive Computing, *10*(3), 76. https://doi.org/10.3390/bdcc10030076
Nafisah, M., & Muhammad, A. B. (2024). Explainable AI for tuberculosis detection in chest radiographs: A Nigerian perspective. African Journal of Computing & ICT, *17*(2), 45-58.
Ningrum, A., & Hagbrink, I. (2025). Bridging the divide: Using technology and AI to close the development gap. SDG Action. https://sdg-action.org/bridging-the-divide-using-technology-and-ai-to-close-the-development-gap/
Nwaiwu, V. C., & Das, S. K. (2025). AI-assisted abnormal CXR findings and correlation with behavioral risk factors: A public health radiography approach to formulating policies and effective interventions. LatIA, *3*, 45. https://doi.org/10.62486/latia202545
Nwankwo, O. C., Eze, U. F., & Okeke, C. I. (2022). Artificial intelligence in medical imaging: Opportunities and challenges for Nigerian healthcare. Nigerian Journal of Clinical Practice, *25*(4), 456-463.
Nzenwata, U. J., Ilori, O. O., Tai-Ojuolape, E. O., Adewale, O. S., & Oyebade, A. (2024). Explainable AI: A systematic literature review focusing on healthcare. Journal of Computer Sciences and Applications, *12*(1), 10-16.
Oloko-Oba, M., & Viriri, S. (2022). A systematic review of deep learning techniques for tuberculosis detection from chest radiograph. Frontiers in Medicine, 9, 830515. https://doi.org/10.3389/fmed.2022.830515
Oluoch, T., Mburu, S., & Ochieng, P. (2022). Artificial intelligence in healthcare: A review of current applications and future prospects in Sub-Saharan Africa. BMJ Global Health, *7*(3), e008123. https://doi.org/10.1136/bmjgh-2021-008123
Ogbonna, C., & Onuiri, E. E. (2024). Predictive Diagnostic Model for Early Osteoporosis Detection Using Deep Learning and Multimodal Imaging Data: A Systematic Review and Meta-Analysis. Asian Journal of Engineering and Applied Technology, 13(2), 28–35. https://doi.org/10.70112/ajeat-2024.13.2.4249
Raghu, M., Zhang, C., Kleinberg, J., & Bengio, S. (2019). Transfusion: Understanding transfer learning for medical imaging. Advances in Neural Information Processing Systems, *32*, 3347-3357.
Rieke, N., Hancox, J., Li, W., Milletari, F., Roth, H. R., Albarqouni, S., Bakas, S., Galtier, M. N., Landman, B. A., Maier-Hein, K., Ourselin, S., Sheller, M., Summers, R. M., Trask, A., Xu, D., Baust, M., & Cardoso, M. J. (2020). The future of digital health with federated learning. NPJ Digital Medicine, 3(119). https://doi.org/10.1038/s41746-020-00323-1
Ronneberger, O., Fischer, P., & Brox, T. (2015). U-Net: Convolutional networks for biomedical image segmentation. International Conference on Medical Image Computing and Computer-Assisted Intervention, 234-241. https://doi.org/10.1007/978-3-319-24574-4_28
Shen, D., Wu, G., & Suk, H. I. (2020). Deep learning in medical image analysis. Annual Review of Biomedical Engineering, *19*, 221-248. https://doi.org/10.1146/annurev-bioeng-071516-044442
Togunwa, T. O., Babatunde, A. O., Fatade, O. E., Olatunji, R., Ogbole, G., & Falade, A. (2025). Detection of pneumonia in children through chest radiographs using artificial intelligence in a low-resource setting: A pilot study. PLOS Digital Health, *4*(2), e0001234. https://doi.org/10.1371/journal.pdig.0001234
University of Port Harcourt Teaching Hospital. (2025). Embracing computer vision for diagnostic maxillofacial imaging—An artificial intelligence machine learning (AIML) pilot project. Nigerian Medical Journal, *66*(3), 973-982.
Wahl, B., Cossy-Gantner, A., Germann, S., & Schwalbe, N. R. (2018). Artificial intelligence (AI) and global health: How can AI contribute to health in resource-poor settings? BMJ Global Health, *3*(4), e000798. https://doi.org/10.1136/bmjgh-2018-000798
Whiting, P. F., Rutjes, A. W. S., Westwood, M. E., Mallett, S., Deeks, J. J., Reitsma, J. B., Leeflang, M. M. G., Sterne, J. A. C., & Bossuyt, P. M. M. (2011). QUADAS-2: A revised tool for the quality assessment of diagnostic accuracy studies. Annals of Internal Medicine, *155*(8), 529-536. https://doi.org/10.7326/0003-4819-155-8-201110180-00009
Winkler, J. K., Sies, K., Fink, C., Toberer, F., Enk, A., Deinlein, T., & Haenssle, H. A. (2022). Association between dermatologist age and diagnostic accuracy of melanoma detection using a deep learning algorithm. JAMA Dermatology, *158*(4), 387-394. https://doi.org/10.1001/jamadermatol.2021.6482
World Health Organization. (2022). Global health workforce statistics. https://www.who.int/data/gho/data/themes/health-workforce
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