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The European Physical Journal Special Topics

Explainable quantum-enhanced machine learning for hypertension prediction

Turker Berk Donmez, Mustafa Kutlu

Published Apr 16, 2025• 7 citations
Publisher

Abstract

Abstract Chronic disease prediction presents ongoing challenges in healthcare, primarily due to the complexity of medical data and the need for models that are both accurate and interpretable. This study introduces a quantum-enhanced machine learning model specifically designed for the prediction of hypertension, combining quantum feature transformation with classical algorithms to deliver precise and reliable results. The model demonstrates high performance, achieving an accuracy of 98.40%, precision of 99.3%, recall of 98.6%, and an F1-score of 98.9%. To ensure transparency and facilitate clinical interpretation, explainable AI (XAI) techniques are employed through SHAP values, highlighting critical factors such as hypertension drug usage, age, ferritin, and cholesterol levels as key contributors to hypertension prediction. This quantum-based approach exemplifies the potential for leveraging cutting-edge technologies in healthcare, offering a robust solution that not only ensures predictive accuracy but also supports interpretability—essential for informed clinical decision-making. The integration of quantum computing and explainable machine learning represents a promising step forward in the development of predictive models tailored to complex medical datasets.

DOI
10.1140/epjs/s11734-025-01629-5

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Abstract Chronic disease prediction presents ongoing challenges in healthcare, primarily due to the complexity of medical data and the need for models that are both accurate and interpretable. This study introduces a quantum-enhanced machine learning model specifically designed for the prediction of hypertension, combining quantum feature transformation with classical algorithms to deliver precise and reliable results. The model demonstrates high performance, achieving an accuracy of 98.40%, precision of 99.3%, recall of 98.6%, and an F1-score of 98.9%. To ensure transparency and facilitate clinical interpretation, explainable AI (XAI) techniques are employed through SHAP values, highlighting critical factors such as hypertension drug usage, age, ferritin, and cholesterol levels as key contributors to hypertension prediction. This quantum-based approach exemplifies the potential for leveraging cutting-edge technologies in healthcare, offering a robust solution that not only ensures predictive accuracy but also supports interpretability—essential for informed clinical decision-making. The integration of quantum computing and explainable machine learning represents a promising step forward in the development of predictive models tailored to complex medical datasets.
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Early and accurate disease prediction is a major challenge in modern healthcare systems. Delayed diagnosis often leads to higher treatment costs and lower patient survival rates. Artificial Intelligence (AI) and Machine Learning (ML) techniques are widely used to help with medical decision-making by analyzing complex healthcare datasets. However, traditional machine learning models often face issues with inefficient feature selection, poor hyperparameter tuning, and slow convergence during optimization. This is especially true when working with high-dimensional medical data. To tackle these challenges, this paper presents an AI-based disease prediction framework that uses quantum-inspired optimization techniques. This approach combines classical machine learning classifiers with optimization strategies based on quantum computing principles, such as probabilistic state representation and superposition-based search. These quantum-inspired methods allow for efficient exploration of the solution space, which leads to better feature selection and optimized model parameters. We evaluate the proposed framework using a publicly available healthcare dataset from Kaggle. We compare the performance of traditional machine learning models and quantum-inspired optimized models using accuracy, precision, recall, and F1-score metrics. The experimental results show that the quantum-inspired optimized model consistently performs better than conventional approaches. This study demonstrates that quantum-inspired optimization provides a practical and scalable solution for improving AI-driven disease prediction systems without the need for actual quantum computing hardware.
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Cardiovascular disease remains one of the leading causes of death worldwide, making early and accurate risk prediction essential. Conventional machine learning models often struggle to handle complex medical data, resulting in limited accuracy and reduced interpretability. To address these challenges, this study presents a hybrid prediction framework that combines Quantum Machine Learning (QML) with ensemble learning techniques. Classical models such as Support Vector Classifier (SVC) and Artificial Neural Network (ANN) are used as baseline approaches. In addition, quantum models including QSVC, Variational Quantum Classifier (VQC), and Quantum Neural Network (QNN) are employed to capture complex non-linear patterns present in clinical data. To further enhance performance, a Bagging-QSVC ensemble model is proposed, improving robustness and overall classification accuracy. Interpretability is incorporated using SHAP, allowing the model’s predictions to be more transparent and easier to understand in a clinical context. Experimental results indicate that the proposed quantum ensemble achieves an accuracy of around 90%, outperforming both classical models and individual quantum models. Furthermore, a real-time user interface is developed, enabling clinicians to input patient data and receive immediate risk predictions. Overall, the system provides a reliable and interpretable solution suitable for practical clinical decision support.