> and need to be fairly large to be efficient
This statement is not true. Actually the inverse is true, the smaller you can make the disks, the better the efficiency.
See https://onlinelibrary.wiley.com/doi/full/10.1002/ese3.1417
> As disc outer diameter decreases from 100 to 50 and 20 mm, the isentropic efficiency of the miniaturized turbines increases significantly from 21.46% to 30.78% and 32.21%, respectively.