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arXiv:2601.18814

Lightweight Quantum-Enhanced ResNet for Coronary Angiography Classification: A Hybrid Quantum-Classical Feature Enhancement Framework

Jingsong Xia

quant-phcs.AIcs.LGSubmitted Jan 22, 2026• Announced Jan 23, 2026• 0 citations
arXivHTMLPDF

Abstract

Background: Coronary angiography (CAG) is the cornerstone imaging modality for evaluating coronary artery stenosis and guiding interventional decision-making. However, interpretation based on single-frame angiographic images remains highly operator-dependent, and conventional deep learning models still face challenges in modeling complex vascular morphology and fine-grained texture patterns.Methods: We propose a Lightweight Quantum-Enhanced ResNet (LQER) for binary classification of coronary angiography images. A pretrained ResNet18 is employed as a classical feature extractor, while a parameterized quantum circuit (PQC) is introduced at the high-level semantic feature space for quantum feature enhancement. The quantum module utilizes data re-uploading and entanglement structures, followed by residual fusion with classical features, enabling end-to-end hybrid optimization with a strictly controlled number of qubits.Results: On an independent test set, the proposed LQER outperformed the classical ResNet18 baseline in accuracy, AUC, and F1-score, achieving a test accuracy exceeding 90%. The results demonstrate that lightweight quantum feature enhancement improves discrimination of positive lesions, particularly under class-imbalanced conditions.Conclusion: This study validates a practical hybrid quantum--classical learning paradigm for coronary angiography analysis, providing a feasible pathway for deploying quantum machine learning in medical imaging applications.

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International Conference on Emerging Computational Intelligence (ICECI)•Apr 4, 2026•0 citations
Background: Coronary angiography (CAG) is the cornerstone imaging modality for evaluating coronary artery stenosis and guiding interventional decision-making. However, interpretation based on single-frame angiographic images remains highly operator-dependent, and conventional deep learning models still face challenges in modeling complex vascular morphology and fine-grained texture patterns.Methods: We propose a Lightweight Quantum-Enhanced ResNet (LQER) for binary classification of coronary angiography images. A pretrained ResNet18 is employed as a classical feature extractor, while a parameterized quantum circuit (PQC) is introduced at the high-level semantic feature space for quantum feature enhancement. The quantum module utilizes data re-uploading and entanglement structures, followed by residual fusion with classical features, enabling end-to-end hybrid optimization with a strictly controlled number of qubits.Results: On an independent test set, the proposed LQER outperformed the classical ResNet18 baseline in accuracy, AUC, and F1-score, achieving a test accuracy exceeding 90%. The results demonstrate that lightweight quantum feature enhancement improves discrimination of positive lesions, particularly under class-imbalanced conditions.Conclusion: This study validates a practical hybrid quantum--classical learning paradigm for coronary angiography analysis, providing a feasible pathway for deploying quantum machine learning in medical imaging applications.
Abstract Data scarcity and the computationally expensive nature of deep learning hinder its applications for medical image classification. This paper explored hybrid quantum-classical models for classifying chest X-rays in data-restricted environments. ResNet18, MobileNetV2, and its hybrid quantum variants were trained at 100%, 50%, 20% and 5% training sets respectively. The model was assessed by accuracy, F1-score, and the area under the curve (AUC). It was found that classical models had better accuracy compared to hybrid models, whereas hybrid models improved the AUC and hence class separability. In a low-data regime, MobileNet performed better due to its computationally lightweight nature, and the best performing Hybrid model combining efficiency with robustness is the MobileNet + Quantum model, revealing promising medical applications for the models where data is scarce. Keywords: Quantum Machine Learning, Deep Learning, MobileNet, ResNet, Chest X-ray, Medical Imaging
Abstract Classical deep learning models often struggle to fully capture complex visual patterns and to generalize effectively when trained on limited or imbalanced medical imaging data. To address this limitation, this paper presents a novel Hybrid Quantum Deep Learning (Hybrid QDL) framework that leverages the strengths of both deep neural networks and quantum circuits for advanced medical image interpretation. The proposed model integrates a pre-trained EfficientNet-B4 as the feature extractor and a variational quantum circuit as the classification head, enabling joint learning of hierarchical and quantum-enhanced representations. The Hybrid QDL model is evaluated on three clinically relevant datasets: COVIDx (for 3-class COVID-19 diagnosis using chest X-rays), PneumoniaMNIST (for pneumonia detection), and OrganAMNIST (for multi-organ abdominal classification). The model achieves state-of-the-art results, with 98.48% accuracy and 98.33% F1-score on COVIDx, outperforming both classical and prior quantum baselines. On PneumoniaMNIST and OrganAMNIST, it reaches 98.28% and 95.27% accuracy, respectively, along with high macro F1-scores. Ablation studies confirm that increasing quantum circuit depth and entanglement enhances discriminative power, particularly in complex multi-class scenarios. These results demonstrate that the Hybrid QDL framework is a robust, scalable solution for automated medical diagnosis and holds significant promise for real-world clinical decision support and COVID-19 detection.
With millions of medical data being produced daily, it is important to leverage current technology to improve the healthcare system. As traditional deep learning models are unable to effectively handle high-dimensional data, a hybrid classical-quantum approach is used to enhance traditional deep learning algorithms. The hybrid classical-quantum models are built upon the classical deep learning framework with quantum techniques. The classical layers are utilized for feature extraction while the quantum layer is used for computational tasks. This addresses computational limitations and data imbalance challenges in medical image analysis. Transfer learning models, such as ResNet18 and InceptionV3, are used in conjunction with a quantum variational circuit to perform the task. The model is trained on a chest X-ray dataset, which consists of two sets of data: binary and multiclass. The binary dataset consists of Normal and COVID-19 images, while the multiclass dataset has COVID-19, Normal, and Tuberculosis images for classification. PennyLane, as a simulator, has been used to perform quantum computing. The dataset has also been used to train the traditional transfer learning models, pre-trained ResNet18, and their results have been compared. Out of all the models tested, the hybrid classical-quantum model, namely Hybrid ResNet18, performed the best. It achieved an accuracy of 93.22% for the binary classification task and 93.91% for the multiclass classification. The results show that there is a statistically significant improvement in classification accuracy and F1-score of the hybrid approach over the classical transfer learning baselines under a simulation-based environment. This sets the stage for further research on real-world physical quantum hardware. Class imbalance and overlapping predictions have been addressed using methods such as data augmentation and confusion matrix analysis. Thus, quantum machine learning could be used as a vital tool to analyze medical data for better diagnostic results.
Accurate classification of microscopic blood cells is still a critical task in medical image analysis, where subtle variations and limited data can challenge conventional deep learning models. As such, we investigate in this work the potential of Hybrid Quantum-Classical Neural Networks (HQNNs) to enhance feature representation and improve classification performance in this domain. We propose a modular architecture combining a pre-trained ResNet-50 backbone with a low-dimensional latent bottleneck and a variational quantum circuit, enabling a direct comparison between quantum-enhanced and purely classical transformation mechanisms. To isolate the contribution of the quantum component, we evaluate three architectures: a HQNN model, a Classical Matched Model with an additional nonlinear transformation layer of comparable capacity, and a baseline model without an intermediate transformation stage. Experiments conducted on two publicly available blood cell datasets, namely the Blood Cell Images dataset and the PBC dataset, demonstrate that HQNNs consistently achieve superior or more balanced performance across evaluation metrics. In the Blood Cell Images Dataset, the proposed approach improves macro F1-score by up to 3.7% compared to classical baselines, while improving the F1-score from 98.54% to 98.69% in the more challenging 8-class scenario with near-saturated performance. Additional evaluation on IBM quantum hardware shows that the model remains robust under noise, with only a modest performance degradation relative to simulated results. These results indicate that quantum feature transformations can enhance discriminative representations, particularly in challenging classification scenarios, and highlight the practical potential of HQNN models for medical imaging tasks.
Coronary artery disease is the leading cause of mortality rate worldwide. This condition is caused by an abnormal narrowing or occlusion of the artery lumen, known as atherosclerosis (a specific type of stenosis). Currently, many imaging techniques have been tested; nevertheless, conventional X-ray Coronary Angiography (XCA) remains the gold standard for coronary artery disease diagnosis, such as atherosclerosis. This study presents a Hybrid Quantum-Convolutional Neural Network to detect coronary artery atherosclerosis in XCA images automatically. It employs a Quantum Convolutional Layer (QCL) that resembles a typical Convolutional Layer. However, unlike the convolution operation where a classical convolutional filter is applied, a QCL transforms the input using a quantum circuit. This QCL generates a multichannel image from a single channel XCA that feeds a traditional Convolutional Neural Network (CNN). The CNN was trained and optimized using two different architectures previously employed for atherosclerosis detection, viz. a DenseNet-based and a VGG-based architectures. Additionally, a comparison of Stochastic Gradient Descent (SGD) and SGD with Momentum (SGDM) were conducted. These architectures were analyzed and compared using a real dataset composed of 250 real XCA images (split into 125 images for testing and 125 for training) regarding their training without the QCL preprocessing and SGDM. The results showed that the CNNs trained with the outcome of the QCL surpasses the baseline CNNs performance. Herein, the best atherosclerosis detection reached an accuracy of 83.36%, while in other metrics such as precision, sensitivity, specificity, and F1-score, achieved an 81.52%, 86.67%, 83.99%, and 80.00%, respectively.
Given the recent prominence of Noisy Intermediate Scale Quantum (NISQ) devices, hybrid quantum-classical neural networks have recently drawn a lot of excitement as a potential solution to improving learning efficiency. Our current paper describes a Hybrid Quantum-Classical Convolutional Neural Network (HQCNN) which is defined as a pretrained backbone of ResNet-18 and a small quantum-enhanced feature-transformation layer of Qiskit. The convolutional high-dimensional features are reduced to the classical eight-dimensional one, which in turn is encoded into a four-qubit parameterized quantum circuit. The resultant quantum expectation values are combined with the compressed features to come up with a hybridized representation of twelve dimensions, used to classify multi-class dataset. Experimental analysis of CIFAR10 data has shown that the suggested HQCNN achieves a test accuracy of 94.74% and improves class-wise precision, recall, and F1-scores than a number of existing hybrid models while using a significantly smaller number of latent features. More investigation into the quantum module indicates that it is predictable about scalability to batch, resistant to perturbations in features, and efficiently performed by evaluating circuit vectors. These results indicate that compact and expressive representations of images that can be helpful in the NISQ era can be acquired using hybrid architectures, thus providing a practical way to forward the benefits of quantum to modern deep-learning pipelines.