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Quantum Generative Adversarial Networks (QGANs) represent a useful development in quantum machine learning, using the particular properties of quantum mechanics to solve the challenges of data analysis and modeling. This paper brings up a general analysis of five QGAN architectures, focusing on their evolution, strengths, weaknesses, and limitations in noisy intermediate-scale quantum (NISQ) devices. Primary methods like Entangling Quantum GAN (EQ-GAN) and Quantum state fidelity (QuGAN) concentrate on stability, convergence, and robust performance on small-scale datasets such as 2 × 2 grayscale images. Intermediate models such as Image Quantum GAN (IQGAN) and Experimental Quantum GAN (EXQGAN) provide new ideas like trainable encoders and patch-based sub-generators that are scalable to 8 × 8 datasets with increasing noise resilience. The most advanced method is Parameterized Quantum Wasserstein GAN (PQWGAN), which uses a hybrid quantum-classical structure to obtain high-resolution image processing for 28 × 28 grayscale datasets while trying to maintain parameter efficiency. This study explores, analyzes, and summarizes critical problems of QGANs, including accuracy, convergence, parameter efficiency, image quality, performance metrics, and training stability under noisy conditions. In addition, developing QGANs can generate and train parameters in quantum approximation optimization algorithms. One of the useful applications of QGAN is generating medical datasets that can generate medical images from limited datasets to train specific medical models for the recognition of diseases. Full article