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Journal of Imaging

Hybrid Classical–Quantum Transfer Learning for Cardiomegaly Detection in Chest X-rays

Pierre Decoodt, Tan Jun Liang, Soham Bopardikar, Hemavathi Santhanam, Alfaxad Eyembe, Begonya García-Zapirain, Daniel Sierra-Sosa

Published Jun 25, 2023• 31 citations
Publisher

Abstract

Cardiovascular diseases are among the major health problems that are likely to benefit from promising developments in quantum machine learning for medical imaging. The chest X-ray (CXR), a widely used modality, can reveal cardiomegaly, even when performed primarily for a non-cardiological indication. Based on pre-trained DenseNet-121, we designed hybrid classical–quantum (CQ) transfer learning models to detect cardiomegaly in CXRs. Using Qiskit and PennyLane, we integrated a parameterized quantum circuit into a classic network implemented in PyTorch. We mined the CheXpert public repository to create a balanced dataset with 2436 posteroanterior CXRs from different patients distributed between cardiomegaly and the control. Using k-fold cross-validation, the CQ models were trained using a state vector simulator. The normalized global effective dimension allowed us to compare the trainability in the CQ models run on Qiskit. For prediction, ROC AUC scores up to 0.93 and accuracies up to 0.87 were achieved for several CQ models, rivaling the classical–classical (CC) model used as a reference. A trustworthy Grad-CAM++ heatmap with a hot zone covering the heart was visualized more often with the QC option than that with the CC option (94% vs. 61%, p < 0.001), which may boost the rate of acceptance by health professionals.

DOI
10.3390/jimaging9070128

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Cardiovascular diseases are among the major health problems that are likely to benefit from promising developments in quantum machine learning for medical imaging. The chest X-ray (CXR), a widely used modality, can reveal cardiomegaly, even when performed primarily for a non-cardiological indication. Based on pre-trained DenseNet-121, we designed hybrid classical–quantum (CQ) transfer learning models to detect cardiomegaly in CXRs. Using Qiskit and PennyLane, we integrated a parameterized quantum circuit into a classic network implemented in PyTorch. We mined the CheXpert public repository to create a balanced dataset with 2436 posteroanterior CXRs from different patients distributed between cardiomegaly and the control. Using k-fold cross-validation, the CQ models were trained using a state vector simulator. The normalized global effective dimension allowed us to compare the trainability in the CQ models run on Qiskit. For prediction, ROC AUC scores up to 0.93 and accuracies up to 0.87 were achieved for several CQ models, rivaling the classical–classical (CC) model used as a reference. A trustworthy Grad-CAM++ heatmap with a hot zone covering the heart was visualized more often with the QC option than that with the CC option (94% vs. 61%, p < 0.001), which may boost the rate of acceptance by health professionals.
Quantum machine learning (QML) has the potential for improving the multi-label classification of rare, albeit critical, diseases in large-scale chest x-ray (CXR) datasets due to theoretical quantum advantages over classical machine learning (CML) in sample efficiency and generalizability. While prior literature has explored QML with CXRs, it has focused on binary classification tasks with small datasets due to limited access to quantum hardware and computationally expensive simulations. To that end, we implemented a Jax-based framework that enables the simulation of medium-sized qubit architectures with significant improvements in wall-clock time over current software offerings. We evaluated the performance of our Jax-based framework in terms of efficiency and performance for hybrid quantum transfer learning for long-tailed classification across 8, 14, and 19 disease labels using large-scale CXR datasets. The Jax-based framework resulted in up to a58% and 95% speed-up compared to PyTorch and TensorFlow implementations, respectively. However, compared to CML, QML demonstrated slower convergence and an average AUROC of 0.70, 0.73, and 0.74 for the classification of 8, 14, and 19 CXR disease labels. In comparison, the CML models had an average AUROC of 0.77, 0.78, and 0.80 respectively. In conclusion, our work presents an accessible implementation of hybrid quantum transfer learning for long-tailed CXR classification with a computationally efficient Jax-based framework.
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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.
This research presents a hybrid quantum-classical machine learning framework for medical image classification under noisy conditions using chest X-ray images. A classical Convolutional Neural Network (CNN) model and a hybrid quantum-classical model integrating variational quantum circuits were implemented using PyTorch and PennyLane. Gaussian noise was introduced during validation to evaluate model robustness under image perturbations. Experimental results demonstrated comparable performance between the classical CNN and the hybrid quantum-classical model, highlighting the potential of Quantum Machine Learning (QML) for future healthcare AI applications. GitHub Repository:https://github.com/saichandukundarapu/quantum-covid-detection
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
Cardiovascular diseases remain the leading cause of mortality globally, necessitating accurate diagnostic tools for early detection and intervention. This paper presents a comprehensive comparative and hybrid analysis of quantum and classical machine learning models for heart disease prediction using the UCI Cleveland dataset. We implement classical baseline models including Logistic Regression, Random Forest, Support Vector Machine (SVM), and XGBoost, alongside quantum models: Quantum Support Vector Machine (QSVM) with statevector fidelity kernels, Variational Quantum Classifier (VQC) with data-reuploading ansätze, and Quantum Convolutional Neural Networks (QCNN) with parametric pooling. The primary contribution is the development of a hybrid quantum classical ensemble meta-classifier that fuses predictions from all classical and quantum learners using XGBoost as a meta learner. Experiments conducted in Google Colab using Qiskit 1.2+ and Penny Lane 0.36+ demonstrate that the proposed hybrid ensemble achieves superior performance with 98.33accuracy, 100perfect AUC-ROC of 1.0, substantially outperforming standalone classical models (best: 88.33(best: 80hybrid model’s superiority. These results underscore the potential of quantum feature spaces combined with classical decision boundaries in healthcare prediction systems, and demonstrate the immediate utility of hybrid quantum-classical integration in medical diagnostics on near-term quantum hardware.