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Quantum-enhanced digital twin IoT for efficient healthcare task offloading

Ahmed K. Jameil, Hamed Saffa Al-Raweshidy

Published May 22, 2025• 10 citations
Publisher

Abstract

Abstract Task offloading frameworks play a crucial role in modern healthcare by optimizing resource utilization, reducing computational burdens, and enabling real-time medical decision-making. However, existing Digital Twin (DT)-based healthcare models suffer from high latency, inefficient resource allocation, cybersecurity vulnerabilities, and computational limitations when processing large-scale patient data. These constraints pose significant risks in time-sensitive applications such as ICU monitoring, robotic-assisted surgeries, and telemedicine. To address these limitations, this paper introduces a Quantum-Enhanced DT-IoT framework, integrating Artificial Intelligence (AI), Quantum Computing (QC), DT, and the Internet of Things (IoT) for real-time, secure, and efficient healthcare task offloading. The proposed system introduces two key optimization algorithms: (1) DTH-ATB-MAPPO, which dynamically adjusts task scheduling and resource distribution, and (2) AQDT-IoT, which enhances computational efficiency and cybersecurity compliance in 6 G-enabled IoT networks. By leveraging Approximate Amplitude Encoding (AAE) and Grover’s search, the framework enhances task offloading efficiency, enabling faster decision-making and optimized resource distribution across 6 G-enabled IoT networks. Empirical evaluations show that quantum preprocessing improved Task Offloading Success Rate (TOSR) by 32% and reduced the Error Rate (ER) by 80%, significantly outperforming traditional DT-based healthcare models. These enhancements enable. Additionally, theoretical analysis demonstrates computational speed enhancements, adaptive cybersecurity mechanisms, and improved system scalability, positioning this framework as a viable candidate for future cloud-based quantum healthcare infrastructures, even in resource-constrained hospital environments.

DOI
10.1007/s42452-025-07101-2

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Abstract Task offloading frameworks play a crucial role in modern healthcare by optimizing resource utilization, reducing computational burdens, and enabling real-time medical decision-making. However, existing Digital Twin (DT)-based healthcare models suffer from high latency, inefficient resource allocation, cybersecurity vulnerabilities, and computational limitations when processing large-scale patient data. These constraints pose significant risks in time-sensitive applications such as ICU monitoring, robotic-assisted surgeries, and telemedicine. To address these limitations, this paper introduces a Quantum-Enhanced DT-IoT framework, integrating Artificial Intelligence (AI), Quantum Computing (QC), DT, and the Internet of Things (IoT) for real-time, secure, and efficient healthcare task offloading. The proposed system introduces two key optimization algorithms: (1) DTH-ATB-MAPPO, which dynamically adjusts task scheduling and resource distribution, and (2) AQDT-IoT, which enhances computational efficiency and cybersecurity compliance in 6 G-enabled IoT networks. By leveraging Approximate Amplitude Encoding (AAE) and Grover’s search, the framework enhances task offloading efficiency, enabling faster decision-making and optimized resource distribution across 6 G-enabled IoT networks. Empirical evaluations show that quantum preprocessing improved Task Offloading Success Rate (TOSR) by 32% and reduced the Error Rate (ER) by 80%, significantly outperforming traditional DT-based healthcare models. These enhancements enable. Additionally, theoretical analysis demonstrates computational speed enhancements, adaptive cybersecurity mechanisms, and improved system scalability, positioning this framework as a viable candidate for future cloud-based quantum healthcare infrastructures, even in resource-constrained hospital environments.
The growing complexity of healthcare systems requires advanced computational models for real-time monitoring, secure data exchange, and intelligent decision-making. Digital Twins (DTs) provide virtual representations of physical healthcare entities, enabling continuous patient monitoring and personalized care. However, classical DT frameworks face limitations in scalability, computational efficiency, and security. Recent studies have introduced Quantum Digital Twins (QDTs) to enhance performance through quantum computing, addressing challenges such as quantum-resistant security and efficient task offloading in healthcare environments. Despite these advances, most existing QDT models remain constrained by fundamental challenges related to quantum hardware limitations, hybrid classical-quantum system integration, cloud-based quantum access, scalability, and clinical trust. This paper provides a comprehensive review of QDTs for healthcare, with a particular focus on identifying and analyzing the key challenges that currently hinder their real-world adoption. Furthermore, it outlines critical research directions and enabling strategies aimed at advancing the development of secure, reliable, and clinically viable quantum digital twin systems for next-generation healthcare applications.
The proliferation of Internet of Things (IoT) devices has created a critical demand for highly energy-efficient and timing-accurate Very Large-Scale Integration (VLSI) circuits. Traditional simulation and modeling techniques often fall short in capturing real-time performance metrics, particularly under dynamic operating conditions and process variations. Digital Twin (DT) technology has emerged as a transformative approach, enabling real-time mirroring and prediction of physical systems. However, classical DT frameworks are computationally limited when simulating complex VLSI behaviors involving multiple non-linear interactions and stringent power constraints. To address these challenges, this research proposes a novel quantum computing-enhanced digital twin framework designed for low-power VLSI circuits in IoT applications. The proposed system leverages the computational parallelism and probabilistic modeling capabilities of quantum algorithms to accelerate the simulation and optimization of power and timing metrics. A hybrid quantum-classical architecture is employed, where a quantum variational circuit models the probabilistic switching behavior of logic gates, while classical components handle data acquisition and control operations. Quantum Approximate Optimization Algorithm (QAOA) and Variational Quantum Eigensolver (VQE) are integrated to minimize energy dissipation and optimize timing paths, respectively. Real-time telemetry from IoT hardware is used to continuously update the twin, ensuring fidelity with the physical circuit. Experimental evaluations on industry-standard benchmark circuits (e.g., ISCAS-85, ITC-99) demonstrate significant improvements in dynamic power estimation accuracy and critical path timing prediction when compared to classical simulation methods. Energy consumption was reduced by up to 17%, and timing deviations were minimized by 22% under varying operating conditions. Moreover, the quantum-DT framework proved robust in the presence of noise and variations, exhibiting scalability for large-scale circuit designs. This study highlights the potential of integrating quantum computing with digital twin technology to meet the stringent design goals of modern VLSI systems, especially in resource-constrained IoT environments. The proposed framework not only enhances modeling precision but also enables real-time adaptive optimization, paving the way for next-generation intelligent circuit design and autonomous system calibration.
Abstract The amount and difficulty of data have both grown a lot since the number of Internet of Things (IoT) devices in the medical and industrial sectors has grown a lot. These situations with a lot of data have needs that go beyond what most cloud and edge computing frameworks can do when it comes to processing in real time, energy efficiency, and security. The inclusion of quantum computing, which can handle a lot of processing at once and execute more sophisticated tasks at once, could transform the way things are done in a big manner. When it comes to handling sensitive and different IoT, the current Edge-Cloud designs have a few big problems: they don't scale effectively, they have a lot of latency, and they do not have enough capacity. In order for predictive maintenance and automation to perform well in industrial Internet of Things (IIoT) contexts, they need to be able to address problems and act promptly. On the other hand, late diagnoses and data breaches are very dangerous for medical settings. All of these key factors; the computing burden, the reaction speed, and the security are handled by one unified design. The Quantum-Enhanced Edge-Cloud Computing Framework (QEECF) is proposed to speed up essential operations including encryption, finding anomalies, and making decisions in real time. With this technology, the quantum processing units (QPUs) are added to both the cloud servers and the edge nodes at the same time. The framework uses a hybrid quantum-classical scheduling strategy that combines quantum annealing with variational circuits to give the best possible job offloading. The objective of a federated quantum learning system is to keep sensitive data safe. This data is stored in databases all around the world, like those used in business and healthcare. We evaluate the technology by running simulations of things like smart manufacturing and keeping an eye on healthcare. These simulations are easier using IBM Qiskit and edge simulators. When compared to standard Edge-Cloud arrangements, QEECF might increase data throughput by 36%, cut job delays by 43%, and improve the accuracy of finding anomalies by 48%.
Digital Twins (DTs) play a crucial role in context-aware Internet of Things (IoT) applications within the healthcare sector, including the industrial healthcare domain, by facilitating the continuous sharing of sensitive and confidential patient data from physical objects in real time. This shared data is essential for treatment planning and decision-making processes, often being accessed remotely by authorized users. However, traditional security mechanisms, which rely on the integer factorization problem (IFP) and the elliptic curve discrete logarithm problem (ECDLP), are vulnerable to quantum attacks using algorithms like Shor's, posing significant risks to data protection. As a result, the healthcare sector faces several security challenges, including the vulnerability of sensitive patient data to cyberattacks, quantum threats, the risk of unauthorized access to medical devices and IoT systems, and the increasing sophistication of cybercriminals exploiting weak authentication methods. To address these issues, we propose a quantum-resistant protocol that safeguards data privacy in DT-enabled IoT healthcare applications, ensures secure transmission of information, maintains patient trust, supports long-term data confidentiality, and protects medical devices and IoT systems from potential breaches. By employing lattice-based cryptographic techniques, particularly the ring learning with errors (RLWE) problem, the proposed scheme effectively addresses contemporary security challenges, including those posed by quantum computing. Real-time experiments conducted on Raspberry Pi 4 devices, along with computational overhead analysis, demonstrate the protocol's efficiency. Additionally, formal security validation using the Scyther tool and security analysis with the RoR model reinforce the robustness of the proposed protocol. A comprehensive comparative evaluation against existing schemes highlights its lightweight, scalable, and efficient nature. Furthermore, performance evaluations in the context of unknown attacks show that the proposed scheme significantly outperforms current alternatives in terms of effectiveness.
Quantum Machine Learning (QML) has emerged as a transformative paradigm that integrates the computational advantages of quantum computing with the adaptive intelligence of machine learning to solve complex optimization problems in smart computing systems. Traditional optimization techniques often struggle with high-dimensional search spaces, combinatorial complexity, computational overhead, and scalability limitations in applications such as intelligent transportation, healthcare analytics, smart manufacturing, cybersecurity, cloud computing, and Internet of Things (IoT) infrastructures. QML approaches exploit quantum superposition, entanglement, and quantum parallelism to accelerate optimization tasks and enhance predictive performance beyond classical machine learning capabilities. This research proposes a hybrid Quantum Machine Learning optimization framework that combines Variational Quantum Circuits (VQCs), Quantum Neural Networks (QNNs), and classical deep learning models to address resource allocation, task scheduling, energy optimization, and intelligent decision-making in smart computing environments. The proposed framework integrates quantum-enhanced feature extraction, adaptive optimization layers, and reinforcement-based learning mechanisms to improve convergence speed and computational efficiency. Experimental analysis is performed using benchmark optimization datasets and simulated quantum environments to evaluate accuracy, execution time, energy efficiency, and scalability. Comparative results demonstrate that the proposed QML-based framework achieves superior optimization accuracy, reduced computational latency, and improved resource utilization when compared with traditional machine learning and classical metaheuristic optimization methods. Furthermore, the study highlights the practical significance of hybrid quantum-classical architectures in next-generation intelligent systems where large-scale optimization and real-time decision support are critical. The findings suggest that QML can significantly contribute to the advancement of sustainable, adaptive, and high-performance smart computing ecosystems while opening new directions for future quantum-aware intelligent infrastructures.
The e-collaboration in the healthcare sector could be brought to revolutionary opportunities by Artificial Intelligence (AI) and Quantum Computing. With the world ever growing in digitization, support of secure, real-time as well as intelligent decisions has grown in demand. The paradigm hybrid described in the current paper employs the quantum-enhanced AI to support a seamless interaction among clinicians, patients, and administrators. The framework can be applied to accomplish faster diagnostics, precision medicine, and successful big health data management with the predictive analytics of AI and parallel processing in quantum computing. It presents the decentralized AI models, with quantum optimization, encryption, and resource scheduling algorithms. Interoperability, ethical issues, and quantum hardware constraints are the key issues. The promise of quantum telemedicine is reflected in such use cases as federated quantum learning, quantum-secure telemedicine, and AI-powered clinical decision support systems. According to our results, quantum-assisted AI e-collaboration is able to enhance patient outcomes, decrease errors, and transform healthcare.