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IEEE Access

A Hybrid Quantum-Classical Approach for Multi-Class Skin Disease Classification Using a 4-Qubit Model

C. V. Aravinda, Joseph Emerson Raja, Sultan Alasmari

Published Jan 1, 2025• 15 citations
Publisher

Abstract

Quantum machine learning (QML) presents a promising avenue for addressing complex classification challenges, yet its application in medical imaging remains largely unexplored. This work introduces a hybrid quantum classical framework designed to classify skin diseases—Chickenpox, Measles, Monkeypox, and Normal—using a 4 qubit quantum system. The framework integrates a Quantum Convolutional Neural Network (QCNN) for feature extraction and a Variational Quantum Classifier (VQC) for classification, processing a dataset of 770 images with significant class imbalance. To address this imbalance, we employ a class weighted loss function with weightswyi= [3.0, 3.5, 0.6, 0.4], ensuring balanced representation across all classes. The model is optimized using Simultaneous Perturbation Stochastic Approximation (SPSA) over 150 iterations, achieving a test accuracy of 70.13% on a subset of 154 images, which represents 20% of the dataset. This marks a substantial improvement over both a random baseline of 25% and a prior run that achieved 37.66% accuracy, which was skewed toward the majority class. Principal Component Analysis (PCA) reduces image features to a 4 dimensional representation, enabling compatibility with the quantum system. The QCNN extracts these features, while the VQC performs classification based on measurements from 1024 shots on the QASM simulator. To ensure practical reusability, the trained model—including quantum circuits, optimized parameters, and PCA transformations—is saved for future deployment. Validation on a separate set of 24 samples (6 per class) yields 70.83% accuracy (17 out of 24 correct predictions), demonstrating the model’s generalization capabilities. While the performance falls short of classical benchmarks, this study establishes the feasibility of QML with minimal qubits, paving the way for quantum driven diagnostics in resource constrained environments.

DOI
10.1109/access.2025.3581030

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Quantum machine learning (QML) presents a promising avenue for addressing complex classification challenges, yet its application in medical imaging remains largely unexplored. This work introduces a hybrid quantum classical framework designed to classify skin diseases—Chickenpox, Measles, Monkeypox, and Normal—using a 4 qubit quantum system. The framework integrates a Quantum Convolutional Neural Network (QCNN) for feature extraction and a Variational Quantum Classifier (VQC) for classification, processing a dataset of 770 images with significant class imbalance. To address this imbalance, we employ a class weighted loss function with weightswyi= [3.0, 3.5, 0.6, 0.4], ensuring balanced representation across all classes. The model is optimized using Simultaneous Perturbation Stochastic Approximation (SPSA) over 150 iterations, achieving a test accuracy of 70.13% on a subset of 154 images, which represents 20% of the dataset. This marks a substantial improvement over both a random baseline of 25% and a prior run that achieved 37.66% accuracy, which was skewed toward the majority class. Principal Component Analysis (PCA) reduces image features to a 4 dimensional representation, enabling compatibility with the quantum system. The QCNN extracts these features, while the VQC performs classification based on measurements from 1024 shots on the QASM simulator. To ensure practical reusability, the trained model—including quantum circuits, optimized parameters, and PCA transformations—is saved for future deployment. Validation on a separate set of 24 samples (6 per class) yields 70.83% accuracy (17 out of 24 correct predictions), demonstrating the model’s generalization capabilities. While the performance falls short of classical benchmarks, this study establishes the feasibility of QML with minimal qubits, paving the way for quantum driven diagnostics in resource constrained environments.
Skin cancer, in particular melanoma, is still one of the most significant contributing factors to cancer-related deaths globally, indicating the urgency of reliable diagnostic tools. Early discovery of skin lesions can radically increase patient survival rates, but manual diagnosis is not an easy task, and it is time-consuming as well. This paper uses Quantum Convolutional Neural Networks (QCNN), a hybrid quantum-classical model for the skin lesion classification task as being benign or malignant. The model intertwines quantum feature extraction using an amplitude encoding and parameterized quantum circuit with classical convolutional neural network (CNN) layers analyzing spatial features. Advanced pre-processing techniques and Synthetic Minority Over-sampling Techniques (SMOTE) address the class imbalance, as federated learning ensures decentralized nodes’ privacy-preserving training. The explainability of the model predictions is heightened through Quantum SHAP (Shapley Additive Explanations) and Gradient-Weighted Class Activation Mapping (Grad-CAM). This work evaluates QCNN on the Melanoma Skin Cancer Dataset of 10,600 images, achieving 96.87% training accuracy and a validation accuracy of 85% while surpassing classical benchmarks in accuracy, efficiency, and robustness. Therefore, this quantum-classical model has highlighted potential applications of medical image diagnostics through quantum-classical models
Multiclass disease classification is a crucial task in medical diagnostics, but achieving high accuracy across diverse disease categories remains challenging. This paper presents a novel approach that integrates Quantum Convolutional Neural Networks (QCNN) with the ResNet architecture to enhance multiclass skin disease classification. The model utilizes quantum computing principles to improve feature extraction and classification performance. We evaluate the model on a dataset comprising 16 skin disease classes from the DermNet dataset, covering both common and rare conditions like acne, melanoma, Eczema, Seborrheic Keratoses, Tinea Ringworm, Bullous disease, Poison Ivy, Psoriasis, Vascular Tumors, etc. Experimental results demonstrate that our QCNN-ResNet model achieves a classification accuracy of 86%, significantly surpassing the 66% accuracy of traditional ResNet models. This improvement is attributed to the enhanced feature representation provided by quantum layers, which capture complex patterns in medical images more effectively. Furthermore, the model exhibits robustness to noisy data, maintaining high accuracy across varying image quality levels. These findings highlight the potential of quantumenhanced neural networks in advancing medical diagnostics. Future research will explore scaling the model to larger datasets and extending its application to other medical imaging domains.
Skin cancer is among the most widespread and life-threatening conditions in the world with the need to detect lesions promptly and consistently in order to treat the disease in a timely manner. Nonetheless, automated lesion classification of the skin is a complex challenge due to inter-class similarity, which is high, illumination variation, and imbalance in the data in various classes of lesions. To address these obstacles, this paper presents a lightweight but powerful 6-qubit Hybrid Quantum-Classical Convolutional Neural Network (HQNN) that is optimized to 6-bit (low-precision) medical imaging applications. The proposed framework will use a ResNet-18 backbone to learn deep dermatological features based on dermoscopic images and a Particle Swarm Optimization (PSO) algorithm with a Random Forest (RF) ranking of features will reduce the 512-dimensional embedding space into six highly discriminative descriptors, which can be encoded in quantum. These are then converted into quantum states with ZZFeatureMap and RealAmplitudes ansatz which comprise a 6-qubit variational circuit the output of which is fused with a classical CNN classifier to achieve final lesion prediction. This strategy of optimization of quantum-aware features is a balance between the representation of high dimensions and limitations of qubits, which ensures a computational tractability on near-term noisy intermediate-scale quantum (NISQ) devices. Existing experimental results on the ISIC 2019 skin-lesion dataset show state-of-the-art performance achieving 98.2% accuracy, 98.5% precision, 97.7% recall, 98.0% F1-score, and a macro ROC-AUC of 0.985. The findings affirm that quantized deep learning with low-qubit quantum encoding has better diagnostic performance, noise resistance, and scalability with minimal hardware costs, making Q-SkinNet a realistic advancement towards experimental quantum-assisted dermatological diagnostics.
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.
Introduction: Medical image classification is a crucial task in cancer diagnosis, relying on the accurate analysis of high-dimensional imaging data. While Convolutional Neural Networks (CNNs) have shown great success in this domain, their performance is often limited by the shallow feature expressiveness and overfitting, particularly in small or heterogeneous datasets. Methods: Quantum machine learning offers new opportunities through high-dimensional representations and nonlinear transformations. In this work, we propose a Quantum-Enhanced Sandwich Convolutional Neural Network (QSCNN), a layered hybrid architecture that integrates quantum and classical modules. The model employs a quanvolutional layer for localized quantum feature extraction, followed by conventional convolution and pooling for hierarchical representation learning, and a variational quantum classifier for nonlinear decision-making. Results: QSCNN achieved higher accuracy and training stability than classical CNNs and QCCNN baselines across three medical imaging tasks.: brain tumor MRI, skin cancer dermoscopy, and lung cancer CT. Circuit depth analysis revealed a trade-off between expressiveness and robustness, and additional experiments with depolarizing noise confirmed the model’s resilience under realistic quantum error conditions. Discussion: This suggests that circuit design choices influence hybrid model behavior and generalization, supporting the feasibility of quantum-enhanced methods for small-sample medical imaging. However, the current evaluation is limited to relatively small benchmark datasets, and broader validation on large-scale data will be essential to confirm clinical applicability. Conclusion: In summary, QSCNN presents a feasible hybrid framework for enhancing medical image classification with quantum features. While preliminary, our results suggest potential advantages in accuracy and stability under NISQ conditions.
Quantum machine learning has emerged as a promising approach for medical image analysis, particularly in settings where compact models and expressive feature representations are desired. This paper presents a hybrid classical--quantum diagnostic framework that integrates dataset-specific preprocessing, transfer learning, and quantum convolutional neural networks (QCNNs) for multi-class medical image classification. This approach is evaluated on three distinct tasks: kidney disease diagnosis from computed tomography images, cervical cell classification from pap smear images, and brain tumor classification from magnetic resonance imaging. For each dataset, a pretrained encoder is used to extract latent features, which are then embedded into quantum states through angle or amplitude encoding and processed by a QCNN. Experimental results show strong and stable convergence across all datasets. The proposed hybrid models achieve 99% test accuracy on kidney CT classification, 97% on cervical cell classification, and 99% on brain tumor classification. In comparative evaluations for precision, recall, and F1, the hybrid QCNN models consistently outperform classical CNN baselines using the same pretrained encoders and similar hyperparameter settings, while requiring fewer trainable parameters. These results demonstrate the potential of quantum-enhanced architectures for robust and efficient medical diagnostics.