PEFT A2Z: Parameter-Efficient Fine-Tuning Survey for Large Language and Vision Models

Large models such as Large Language Models (LLMs) and Vision Language Models (VLMs) have transformed artificial intelligence, powering applications in natural language processing, computer vision, and multimodal learning. However, fully fine-tuning these models remains expensive, requiring extensive computational resources, memory, and task-specific data. Parameter-Efficient Fine-Tuning (PEFT) has emerged as a promising solution that allows adapting large models to downstream tasks by updating only a small portion of parameters. This survey presents a comprehensive overview of PEFT techniques, focusing on their motivations, design principles, and effectiveness. We begin by analyzing the resource and accessibility challenges posed by traditional fine-tuning and highlight key issues, such as overfitting, catastrophic forgetting, and parameter inefficiency. We then introduce a structured taxonomy of PEFT methods -- grouped into additive, selective, reparameterized, hybrid, and unified frameworks -- and systematically compare their mechanisms and trade-offs. Beyond taxonomy, we explore the impact of PEFT across diverse domains, including language, vision, and generative modeling, showing how these techniques offer strong performance with lower resource costs. We also discuss important open challenges in scalability, interpretability, and robustness, and suggest future directions such as federated learning, domain adaptation, and theoretical grounding. Our goal is to provide a unified understanding of PEFT and its growing role in enabling practical, efficient, and sustainable use of large models.

Medical-GAT: Cancer Document Classification Leveraging Graph-Based Residual Network for Scenarios with Limited Data

Accurate classification of cancer-related medical abstracts is crucial for healthcare management and research. However, obtaining large, labeled datasets in the medical domain is challenging due to privacy concerns and the complexity of clinical data. This scarcity of annotated data impedes the development of effective machine learning models for cancer document classification. To address this challenge, we present a curated dataset of 1,874 biomedical abstracts, categorized into thyroid cancer, colon cancer, lung cancer, and generic topics. Our research focuses on leveraging this dataset to improve classification performance, particularly in data-scarce scenarios. We introduce a Residual Graph Attention Network (R-GAT) with multiple graph attention layers that capture the semantic information and structural relationships within cancer-related documents. Our R-GAT model is compared with various techniques, including transformer-based models such as Bidirectional Encoder Representations from Transformers (BERT), RoBERTa, and domain-specific models like BioBERT and Bio+ClinicalBERT. We also evaluated deep learning models (CNNs, LSTMs) and traditional machine learning models (Logistic Regression, SVM). Additionally, we explore ensemble approaches that combine deep learning models to enhance classification. Various feature extraction methods are assessed, including Term Frequency-Inverse Document Frequency (TF-IDF) with unigrams and bigrams, Word2Vec, and tokenizers from BERT and RoBERTa. The R-GAT model outperforms other techniques, achieving precision, recall, and F1 scores of 0.99, 0.97, and 0.98 for thyroid cancer; 0.96, 0.94, and 0.95 for colon cancer; 0.96, 0.99, and 0.97 for lung cancer; and 0.95, 0.96, and 0.95 for generic topics.