Numerous studies have analyzed the use of hybrid quantum-classical convolutional neural networks as a promising alternative to classical deep learning. However, network components on quantum hardware impose fundamental limitations, while the scalability of quantum circuits leads to trainability issues. In this work, we investigate whether small, classically-emulated quantum circuit components can play a meaningful role within complex models, offering an alternative to purely classical convolutional architectures. To this end, we present a systematic study of the effectiveness of a Hybrid Quantum-inspired Convolutional Neural Network (HQiCNN) compared with a parameter-matched classical Convolutional Neural Network (CNN) that differs only in an intermediate dense neural layer. Both models are evaluated on two real-world medical datasets while systematically varying the different hyperparameters, ensuring a fair model comparison that is both dataset and hyperparameter independent. The results show that no architecture consistently dominates the other: the HQiCNN achieves its largest gains in intermediate-data regimes, whereas the CNN reaches the highest accuracies for the largest training sets in both datasets. Furthermore, removing entanglement produces comparable performance while enabling substantially better scalability of quantum simulations, and richer observable sets become beneficial only when sufficient training data are available. Finally, we propose two SHAP-based explainability tools for comparing the predictions between both models, $|SHAP|$IoU and $EMD_{pos}$ metric, to demonstrate that both architectures consistently attend to anatomically plausible regions. Thus, we provide a comprehensive benchmark showing that, under certain conditions, hybrid quantum-inspired models are an alternative that can offer benefits in practical tasks such as medical image classification.
Numerous studies have analyzed the use of hybrid quantum-classical convolutional neural networks as a promising alternative to classical deep learning. However, network components on quantum hardware impose fundamental limitations, while the scalability of quantum circuits leads to trainability issues. In this work, we investigate whether small, classically-emulated quantum circuit components can play a meaningful role within complex models, offering an alternative to purely classical convolutional architectures. To this end, we present a systematic study of the effectiveness of a Hybrid Quantum-inspired Convolutional Neural Network (HQiCNN) compared with a parameter-matched classical Convolutional Neural Network (CNN) that differs only in an intermediate dense neural layer. Both models are evaluated on two real-world medical datasets while systematically varying the different hyperparameters, ensuring a fair model comparison that is both dataset and hyperparameter independent. The results show that no architecture consistently dominates the other: the HQiCNN achieves its largest gains in intermediate-data regimes, whereas the CNN reaches the highest accuracies for the largest training sets in both datasets. Furthermore, removing entanglement produces comparable performance while enabling substantially better scalability of quantum simulations, and richer observable sets become beneficial only when sufficient training data are available. Finally, we propose two SHAP-based explainability tools for comparing the predictions between both models, ∣SHAP∣IoU and EMDpos metric, to demonstrate that both architectures consistently attend to anatomically plausible regions. Thus, we provide a comprehensive benchmark showing that, under certain conditions, hybrid quantum-inspired models are an alternative that can offer benefits in practical tasks such as medical image classification.
Deep learning has achieved significant success in pattern recognition, with convolutional neural networks (CNNs) serving as a foundational architecture for extracting spatial features from images. Quantum computing provides an alternative computational framework, a hybrid quantum-classical convolutional neural networks (QCCNNs) leverage high-dimensional Hilbert spaces and entanglement to surpass classical CNNs in image classification accuracy under comparable architectures. Despite performance improvements, QCCNNs typically use fixed quantum layers without incorporating trainable quantum parameters. This limits their ability to capture non-linear quantum representations and separates the model from the potential advantages of expressive quantum learning. In this work, we present a hybrid quantum-classical-quantum convolutional neural network (QCQ-CNN) that incorporates a quantum convolutional filter, a shallow classical CNN, and a trainable variational quantum classifier. This architecture aims to enhance the expressivity of decision boundaries in image classification tasks by introducing tunable quantum parameters into the end-to-end learning process. Through a series of small-sample experiments on MNIST, F-MNIST, and MRI tumor datasets, QCQ-CNN demonstrates competitive accuracy and convergence behavior compared to classical and hybrid baselines. We further analyze the effect of ansatz depth and find that moderate-depth quantum circuits can improve learning stability without introducing excessive complexity. Additionally, simulations incorporating depolarizing noise and finite sampling shots suggest that QCQ-CNN maintains a certain degree of robustness under realistic quantum noise conditions. While our results are currently limited to simulations with small-scale quantum circuits, the proposed approach offers a potentially promising direction for hybrid quantum learning in near-term applications.
Deep learning techniques have significantly enhanced medical image classification for disease diagnosis. However, traditional deep learning models face several challenges, such as dependence on large annotated datasets, complex architectural layers, and millions of trainable parameters, which can increase computational load and cause overfitting. Although quantum computing offers potential for parallel processing and improved feature representation, its practical use is limited by the current capabilities of Noisy Intermediate-Scale Quantum (NISQ) hardware. To overcome these issues, Hybrid Quantum–Classical Convolutional Neural Networks (HQCNNs) have been developed, using quantum properties like superposition and entanglement to improve feature extraction and classification of medical images. This review offers a thorough analysis of 50 peer-reviewed studies published from 2021 to 2026 and introduces a taxonomy of HQCNN architectures. It classifies existing approaches into three categories: Quantum-to-Classical, Classical-to-Quantum, and Hybrid Quantum Transfer Learning. The studies reviewed encompass a diverse range of medical imaging applications, including binary and multi-class disease classification using X-ray, CT, MRI, ultrasound, dermoscopic, retinal, and mammographic images. Additionally, the review compares HQCNNs with their classical CNN counterparts, exploring how factors like quantum circuit design, dataset size, class imbalance, task complexity, evaluation protocols, and hardware limitations influence classification performance. It concludes with an analysis of the key limitations of current HQCNN models, discusses challenges in deploying NISQ devices practically, and proposes future research directions to bridge the gap between experimental HQCNN frameworks and reliable clinical diagnostic systems.
Medical image classification is a critical component of modern healthcare; however, accurate diagnosis remains challenging due to limited annotated datasets, class imbalance, and the high dimensionality of medical imaging data. To address these challenges, a hybrid quantum-classical neural network (HQCNN) is proposed, integrating classical deep learning with variational quantum learning for medical image classification. The proposed architecture combines a five-layer convolutional neural network (CNN) for hierarchical feature extraction with a lightweight 4-qubit variational quantum circuit (VQC) incorporating quantum state encoding, superposition and entanglement mechanisms, and a quantum attention-Fourier (QAF) module. This hybrid design aims to improve nonlinear feature representation and quantum parameter efficiency while maintaining a shallow quantum circuit suitable for noisy intermediate-scale quantum (NISQ)-era constraints. Experimental evaluation on six MedMNIST benchmark datasets demonstrated competitive performance across both binary and multi-class classification tasks. HQCNN achieved 98.88% accuracy on the binary subset of PathMNIST (classes 0 vs. 1), 97.61% accuracy on the multi-class OrganAMNIST dataset, and 86.29% accuracy on BreastMNIST. Comparative experiments and statistical analyses demonstrated consistent improvements over the controlled BHQNN baseline, while component-wise ablation studies showed that the QAF module, superposition and entanglement mechanisms, and expressive parameterized rotations contributed to classification performance in a complementary and dataset-dependent manner. Moreover, HQCNN reduced the number of trainable quantum parameters by approximately 55.6% compared with the baseline hybrid quantum neural network (BHQNN). Noise-aware simulations further showed that the model retained relatively stable predictive performance under moderate depolarizing noise, supporting further evaluation under near-term quantum computing conditions. Overall, the results demonstrate that HQCNN provides a parameter-efficient hybrid quantum-classical framework for medical image classification and offers a promising foundation for further investigation of quantum-enhanced medical image analysis.
This study presents a systematic comparison between hybrid quantum-classical neural networks and purely classical models across three benchmark datasets (MNIST, CIFAR100, and STL10) to evaluate their performance, efficiency, and robustness. The hybrid models integrate parameterized quantum circuits with classical deep learning architectures, while the classical counterparts use conventional convolutional neural networks (CNNs). Experiments were conducted over 50 training epochs for each dataset, with evaluations on validation accuracy, test accuracy, training time, computational resource usage, and adversarial robustness (tested with ε=0.1 perturbations).Key findings demonstrate that hybrid models consistently outperform classical models in final accuracy, achieving {99.38\% (MNIST), 41.69\% (CIFAR100), and 74.05\% (STL10) validation accuracy, compared to classical benchmarks of 98.21\%, 32.25\%, and 63.76\%, respectively. Notably, the hybrid advantage scales with dataset complexity, showing the most significant gains on CIFAR100 (+9.44\%) and STL10 (+10.29\%). Hybrid models also train 5--12× faster (e.g., 21.23s vs. 108.44s per epoch on MNIST) and use 6--32\% fewer parameters} while maintaining superior generalization to unseen test data.Adversarial robustness tests reveal that hybrid models are significantly more resilient on simpler datasets (e.g., 45.27\% robust accuracy on MNIST vs. 10.80\% for classical) but show comparable fragility on complex datasets like CIFAR100 ($\sim$1\% robustness for both). Resource efficiency analyses indicate that hybrid models consume less memory (4--5GB vs. 5--6GB for classical) and lower CPU utilization (9.5\% vs. 23.2\% on average).These results suggest that hybrid quantum-classical architectures offer compelling advantages in accuracy, training efficiency, and parameter scalability, particularly for complex vision tasks.
Convolutional Neural Networks (CNNs) are extensively utilized for image classification due to their ability to exploit data correlations effectively. However, traditional CNNs encounter several challenges, including limitations in accuracy improvement, computational efficiency, explain ability, and generalization. As data dimensionality or model complexity increases, CNNs often become more difficult to train efficiently, leading to slower processing times. To overcome these challenges, Quantum Convolutional Neural Networks (QCNNs) offer a promising quantum-based approach to enhance existing models, particularly by improving training efficiency and reducing processing times. This paper provides a comparative analysis of classical CNNs and a novel quantum circuit architecture tailored for image-based tasks. The analysis emphasizes the adaptability and potential of quantum circuits to enhance feature extraction, recognition accuracy, and processing efficiency.We applied various QCNN architectures to the Chinese-MNIST dataset and compared their performance with traditional CNN models. Although QCNNs achieved slightly lower accuracy, they demonstrated significantly greater stability. These findings high- light QCNNs’ potential to overcome the computational limitations of conventional deep learning, offering a promising pathway for quantum-enhanced solutions in computer vision. Future work will focus on refining quantum circuit designs, developing hybrid quantum-classical models, and extending QCNN applications to larger and more diverse datasets.
In this work, we investigate the performance of hybrid quantum-classical convolutional neural networks (QCNNs) in medical image classification under the presence of adversarial attacks. Adversarial attacks pose a significant threat to image classification models, since they introduce subtle perturbations to input images, leading to incorrect predictions. Specifically, in this work, 10 QCNNs with their corresponding classic Convolutional Neural Networks (CNNs) counterparts are comparatively examined for their robustness, on two different medical image datasets using transfer learning, under two different adversarial attacks. In a subsequent step, the implementation of training models from scratch is also evaluated. With transfer learning on the X-ray dataset, CNN and QCNN models achieve high and comparable performance across most backbones. On the histopathological dataset, CNNs and QCNNs often generalize worse compared to the X-ray dataset, indicating head overfitting under domain shift. The adversarial evaluation results highlight that most models' robustness comes from the backbone rather than the head. QCNN models perform comparably to CNNs under attack and show improvements when trained from scratch. Overall, the results indicate that integrating quantum circuit mechanisms into classical CNN architectures can enhance the robustness of models in medical imaging tasks, representing a promising domain that warrants further investigation.