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Nigerian Journal of Physics

Enhancing mpMRI-Based Prostate Cancer Detection by Ensemble Quantum Machine Learning Models

O. O. Solanke, K. K. A. Abdullah, S. O. Hassan, M. A. Usman

Published Jul 3, 2025• 0 citations
Publisher

Abstract

Prostate cancer is among the most prevalent malignancies in men, and early, accurate diagnosis is critical for effective treatment. Traditional machine learning techniques have demonstrated success in analyzing multiparametric magnetic resonance imaging (MRI) and clinical biomarkers; however, their scalability and capacity to model complex feature interactions remain limited. This study proposes an Ensemble Quantum Machine Learning (QML) framework to enhance prostate cancer detection using the PROSTATEx Challenge dataset. Radiomic features were extracted from MRI modalities and clinical attributes, then standardized and reduced using principal component analysis (PCA) to match current quantum hardware constraints. Three quantum classifiers—Quantum Support Vector Machine (QSVM), Variational Quantum Classifier (VQC), and Quantum Neural Network (QNN) - were independently trained and integrated using both soft voting and stacked ensemble strategies. Results from stratified 5-fold cross-validation show that the stacked ensemble outperformed individual models and baseline classifiers, achieving an average accuracy of 88.4%, recall of 89.1%, precision of 87.9%, F1-score of 88.5%, and area under the curve - receiver operating characteristic (AUC-ROC) of 0.94 (stack ensemble). These findings highlight the potential of hybrid quantum-classical ensemble learning to improve diagnostic robustness, particularly in reducing false negatives. Furthermore, validation on real quantum hardware demonstrated consistent performance, underscoring the feasibility of QML in near-term medical applications. This work contributes to the growing intersection of quantum computing and clinical AI, offering a scalable and interpretable approach to precision oncology.

DOI
10.62292/10.62292/njp.v34i2.2025.404

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Prostate cancer is among the most prevalent malignancies in men, and early, accurate diagnosis is critical for effective treatment. Traditional machine learning techniques have demonstrated success in analyzing multiparametric magnetic resonance imaging (MRI) and clinical biomarkers; however, their scalability and capacity to model complex feature interactions remain limited. This study proposes an Ensemble Quantum Machine Learning (QML) framework to enhance prostate cancer detection using the PROSTATEx Challenge dataset. Radiomic features were extracted from MRI modalities and clinical attributes, then standardized and reduced using principal component analysis (PCA) to match current quantum hardware constraints. Three quantum classifiers—Quantum Support Vector Machine (QSVM), Variational Quantum Classifier (VQC), and Quantum Neural Network (QNN) - were independently trained and integrated using both soft voting and stacked ensemble strategies. Results from stratified 5-fold cross-validation show that the stacked ensemble outperformed individual models and baseline classifiers, achieving an average accuracy of 88.4%, recall of 89.1%, precision of 87.9%, F1-score of 88.5%, and area under the curve - receiver operating characteristic (AUC-ROC) of 0.94 (stack ensemble). These findings highlight the potential of hybrid quantum-classical ensemble learning to improve diagnostic robustness, particularly in reducing false negatives. Furthermore, validation on real quantum hardware demonstrated consistent performance, underscoring the feasibility of QML in near-term medical applications. This work contributes to the growing intersection of quantum computing and clinical AI, offering a scalable and interpretable approach to precision oncology.
Purpose This study investigates the integration of quantum-enhanced machine learning (QML) into medical image analysis, focusing on classification and feature extraction tasks. It aims to evaluate whether hybrid quantum-classical models can overcome the limitations of traditional machine learning in handling high-dimensional, clinically relevant imaging data. Design/methodology/approach Hybrid architectures combining classical preprocessing with quantum components, specifically variational quantum circuits (VQCs) and quantum kernel methods, were developed and implemented in simulated quantum environments using Qiskit and PennyLane on Google Colab. Publicly available datasets (ChestX-ray14, Brain Tumor MRI and CT Hemorrhage) were preprocessed and encoded into quantum states. Model performance was evaluated against classical baselines (MLP and CNN) using accuracy, precision, recall, F1-score, convergence speed and trainable parameters. Findings Quantum-enhanced models achieved competitive or superior performance compared to classical models with significantly fewer trainable parameters and faster convergence. The Quantum Kernel SVM demonstrated the highest precision (89.1%) and F1-score (88.5%) using only 8 parameters, while VQC models converged up to 2× faster than classical baselines. These results highlight the potential of QML to improve efficiency, robustness and scalability in diagnostic imaging workflows, particularly in resource-constrained or data-limited settings. Research limitations/implications The study relies on simulated quantum environments, which do not capture hardware noise or qubit limitations. Future work will extend to real quantum devices, multimodal data integration and interpretability strategies. Practical implications Quantum kernel methods and lightweight VQC architectures enable faster, resource-efficient diagnostic modeling, making them suitable for clinical environments with limited computational capacity or time-sensitive decision-making needs. Social implications Improving the efficiency and accessibility of medical image analysis has the potential to support faster diagnosis and enhance healthcare delivery, particularly in underserved or resource-limited regions. Originality/value This study provides a practical evaluation of hybrid quantum-classical models applied to multiple real medical imaging datasets in a reproducible simulated environment. It offers an early-stage framework demonstrating how QML techniques can be integrated into existing machine learning pipelines for medical image analysis.
Early and accurate diagnosis of breast cancer plays a critical role in improving patient survival rates and reducing treatment costs. Classical machine learning algorithms such as Logistic Regression and Support Vector Machines (SVM) have demonstrated strong performance in medical diagnosis tasks; however, their scalability and representational limits motivate the exploration of emerging paradigms. Quantum Machine Learning (QML), particularly Variational Quantum Classifiers (VQC), has recently gained attention due to its potential to model complex decision boundaries using quantum circuits. This paper presents a comparative analysis between a Variational Quantum Classifier and classical machine learning models for binary breast cancer classification. The study employs dimensionality-reduced clinical data and evaluates model performance using accuracy, confusion matrices, decision boundary visualization, Principal Component Analysis (PCA), and Receiver Operating Characteristic (ROC) curves. Experimental results indicate that the VQC achieves competitive performance with classical approaches, demonstrating its feasibility for small-scale medical datasets and highlighting the promise of quantum-enhanced learning in healthcare applications.
Alzheimer's disease prediction requires robust mod eling of heterogeneous medical data, including structural MRI representations and structured clinical attributes. This study presents a controlled multi-modality benchmarking framework comparing optimized classical ensemble learning methods with a Variational Quantum Classifier (VQC) under identical prepro cessing and validation protocols. MRI features are reduced using Principal Component Analysis (PCA), while structured clinical attributes are modeled using Random Forest, XGBoost, Voting, and Stacking ensembles. A hybrid quantum–classical pipeline is implemented using Qiskit and PennyLane to evaluate near-term quantum feasibility under NISQ constraints. Experimental results demonstrate that stacking ensemble mod els achieve 95.3% accuracy on clinical data and 91.5% on MRI data, significantly outperforming the VQC, which achieves 71.4% accuracy under the same evaluation conditions. Statistical testing confirms that this performance gap is significant. These findings indicate that optimized classical ensemble learn ing remains superior for current medical prediction tasks, while variational quantum classification remains exploratory under present hardware limitations.
Abstract Quantum machine learning is gaining attention for its ability to uncover complex patterns that classical models may overlook. In this research, we explore the use of a quantum neural network (QNN) for classifying prostate cancer based on clinical data. We started with a real-world dataset and applied essential preprocessing steps to prepare it for training. The QNN was built using a ZZFeatureMap for encoding and a variational circuit combining rotation gates and entanglement. Training was performed with the COBYLA optimizer using an 80–20 train-test split. The model achieved strong results, with 87.5% accuracy, 89% precision, and over 90% recall. These outcomes suggest that QNNs offer meaningful potential for improving cancer detection tasks, particularly in medical domains where capturing subtle feature interactions is crucial.
In recent years, quantum machine learning (QML) has emerged as a promising approach for medical decision-making, with representative methods such as Quantum Support Vector Machines (QSVMs), Quantum Neural Networks (QNNs), and Variational Quantum Circuits (VQCs). Among these, VQCs are distinguished by their expressive capability; however, their training on small biomedical datasets often results in instability and high variance. To address this issue, we propose a heterogeneous ensemble of six shallow VQCs evaluated on the Wisconsin Breast Cancer Diagnostic (WBCD) dataset, which contains 569 diagnostic samples characterized by 30 cytological features and binary class labels differentiating benign and malignant cases. The ensemble introduces diversity through distinct feature maps, circuit architectures, and optimization strategies, using rotation gates (RX, RY, RZ) combined with entangling layers (CNOT, CZ). Model reliability is estimated from out-of-bag errors, with normalized weights calculated as the inverse of the mean squared error, and final decisions obtained via weighted soft voting. The preprocessing pipeline involves median imputation and standardization, followed by principal component analysis (PCA) to compress the 30-dimensional space into three to four principal components for quantum encoding. In our experiments, individual VQCs trained on the full dataset exhibited unstable accuracies ranging from 80% to 96% across three–four qubits, whereas the proposed ensemble achieved consistent performance of 95.71% (3 qubits) and 96.43% (4 qubits), reducing variance and matching strong classical baselines such as SVM and Random Forest. All models were implemented in PennyLane, utilizing the Lightning.qubit simulator for shot-free optimization and the default.mixed device for noise-aware evaluation, demonstrating the potential of weighted quantum ensembles for reliable biomedical classification.
Ziel/Aim Quantum computing (QC) has the potential to revolutionalize optimization, modeling, simulation and machine learning (ML) approaches. In this work we aimed to compare the predictive performance of quantum and classic ML approaches to predict clinical end-points in positron emission tomography (PET) imaging cohorts, utilizing a real quantum computer. Methodik/Methods Two retrospective radiomic datasets were collected: a 11 C-MET PET glioma cohort with 84 samples and 3-years survival [ 1 ] as well as a PSMA-11 PET/MRI prostate cohort with 121 samples and lesion low-vs-high Gleason risk [ 2 ] as clinical end-points. Ten-fold cross-validation (CV) was conducted with 80-20% train-validation split ratio. Feature ranking and selection of 8 and 16 radiomic features was performed in all training sets, followed by building and cross-validating classic k-nearest neighbor (kNN), support vector machine (SVM) and neural network (NN) ML models. In parallel, quantum distance classifier (qDist), SVM (qSVM) and NN (qNN) models were built and cross-validated in the IBMQ Melbourne quantum computer [ 3 ]. Predictive performance of classic and quantum models were estimated by area under the receiver operator curve (AUC) across validation cases of the CM folds per model in each cohort. Ergebnisse/Results Average validation AUC was 0.66 with classic, and 0.71 with quantum ML approaches across all cohorts and feature counts. Maximum validation AUC across the three-three different ML approaches and cohorts was 0.70 with classic and 0.76 with quantum ML approaches, respectively. Schlussfolgerungen/Conclusions Our results demonstrate quantum advantage utilizing existing, real quantum hardware in clincially-relevant radiomic cohorts. Future studies shall further investigate the added value of QC in radiomics and imaging research. Publication History Article published online: 30 March 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag Rüdigerstraße 14, 70469 Stuttgart, Germany