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IEEE Journal of Biomedical and Health Informatics

Quantum Federated Learning in Healthcare: The Shift From Development to Deployment and From Models to Data

Amandeep Singh Bhatia, Sabre Kais, Muhammad Ashraful Alam

Published Aug 6, 2025• 4 citations
Publisher

Abstract

Healthcare organizations have a high volume of sensitive data and traditional technologies have limited storage capacity and computational resources. The prospect of sharing healthcare data for machine learning is more arduous due to government regulations related to patient privacy. In recent years, federated learning has offered a solution to accelerate distributed machine learning addressing concerns related to data privacy and governance. Currently, the blend of quantum computing and machine learning has experienced significant attention from academic institutions and research communities. The ultimate objective of this work is to develop a federated quantum machine learning framework (FQML) to tackle the optimization, security, and privacy challenges in the healthcare industry for medical imaging tasks. In this work, we propose a new methodology based on federated quantum convolutional neural networks (QCNNs) with distributed training across edge devices. To demonstrate the feasibility of the proposed FQML framework, we performed extensive experiments on two benchmark medical datasets (Pneumonia MNIST, and CT kidney disease analysis), which are non-independently and non-identically partitioned among the healthcare institutions/clients. The proposed framework is validated and assessed via large-scale simulations. Based on our results, the quantum simulation experiments achieve performance levels on par with well-known classical CNN models, 86.3% accuracy on the pneumonia dataset and 92.8% on the CT-kidney dataset, while requiring fewer model parameters and consuming less data. Moreover, a client selection mechanism is proposed to reduce the computation overhead at each communication round, which effectively improves the convergence rate.

DOI
10.1109/jbhi.2025.3596156

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Healthcare organizations have a high volume of sensitive data and traditional technologies have limited storage capacity and computational resources. The prospect of sharing healthcare data for machine learning is more arduous due to government regulations related to patient privacy. In recent years, federated learning has offered a solution to accelerate distributed machine learning addressing concerns related to data privacy and governance. Currently, the blend of quantum computing and machine learning has experienced significant attention from academic institutions and research communities. The ultimate objective of this work is to develop a federated quantum machine learning framework (FQML) to tackle the optimization, security, and privacy challenges in the healthcare industry for medical imaging tasks. In this work, we propose a new methodology based on federated quantum convolutional neural networks (QCNNs) with distributed training across edge devices. To demonstrate the feasibility of the proposed FQML framework, we performed extensive experiments on two benchmark medical datasets (Pneumonia MNIST, and CT kidney disease analysis), which are non-independently and non-identically partitioned among the healthcare institutions/clients. The proposed framework is validated and assessed via large-scale simulations. Based on our results, the quantum simulation experiments achieve performance levels on par with well-known classical CNN models, 86.3% accuracy on the pneumonia dataset and 92.8% on the CT-kidney dataset, while requiring fewer model parameters and consuming less data. Moreover, a client selection mechanism is proposed to reduce the computation overhead at each communication round, which effectively improves the convergence rate.
Abstract Healthcare organizations have a high volume of sensitive data and traditional technologies have limited storage capacity and computational resources. The prospect of sharing healthcare data for machine learning is more arduous due to firm regulations related to patient privacy. The balanced protection of confidentiality, integrity, and availability of healthcare data, has become a major concern beyond classical data security considerations. In recent years, federated learning offers a solution to accelerate distributed machine learning addressing concerns related to data privacy and governance. Currently, the blend of quantum computing and machine learning has experienced significant attention from academic institutions and research communities. Quantum computers have shown the potential to bring huge benefits to the healthcare sector through efficient distributed training across several quantum nodes. The ultimate objective of this work is to develop a quantum federated learning framework (QFL) to tackle the optimization, security, and privacy challenges in the healthcare and clinical industries for medical imaging tasks. In this work, we proposed federated quantum convolutional neural networks (QCNNs) with distributed training across edge devices. To demonstrate the feasibility of the proposed QFL framework, we performed extensive experiments on medical datasets (Pneumonia MNIST, and CT-kidney disease analysis), which are non-independently and non-identically partitioned among the healthcare institutions/clients. The quantum federated global model maintained a high classification testing accuracy and generalizability and outperformed the locally train clients regardless of how unbalanced the medical data is distributed among the clients. The global model achieved the best performance as compared to local clients in terms of the area under curve of the receiver operating characteristic curve (AUCROC) (0.953) and an average of (0.98) on all classes for predicting outcomes on pneumonia and CT-kidney datasets, respectively. Moreover, the client selection mechanism is proposed to reduce the computation overhead at each communication round, which effectively improves the convergence rate. The proposed quantum federated learning framework is validated and assessed via large-scale simulations. Based on our results from numerical simulations, the deployment of distributed and secure quantum machine learning algorithms for enabling scalable and privacy-preserving intelligent healthcare applications would be extremely valuable.
Abstract The healthcare industry frequently handles sensitive and proprietary data, and due to strict privacy regulations, it is often reluctant to share it directly. In today’s context, Federated Learning (FL) stands out as a crucial remedy, facilitating the rapid advancement of distributed machine learning while effectively managing critical concerns regarding data privacy and governance. The fusion of federated learning and quantum computing represents a groundbreaking interdisciplinary approach with immense potential to revolutionize various industries, from healthcare to finance. In this work, we propose a federated learning framework based on quantum tensor networks (QTNs) that takes advantage of the principles of many-body quantum physics. Currently, there are no known classical tensor networks (TNs) implemented in federated settings. Furthermore, we investigated the effectiveness and feasibility of the proposed framework by conducting a differential privacy analysis to ensure the security of sensitive data across healthcare institutions. Experiments on popular medical image datasets show that the federated quantum tensor network (FedQTNs) model achieved a mean receiver-operator characteristic area under the curve of 91%–98%, outperforming several state-of-the-art federated learning methods. Moreover, QTN models require fewer parameters in FL settings compared to traditional classical models, which often suffer from over-parameterization. This reduction in parameters not only improves the efficiency of the communication process but also significantly decreases data consumption during training. As a result, QTN models facilitate a more effective and resource-efficient approach to training in decentralized environments with limited communication bandwidth. The FedQTN models demonstrate a smaller performance drop even when using strong differential privacy settings, maintaining higher accuracy compared to classical models under similar privacy constraints. Experimental results demonstrate that the quantum federated global model, consisting of highly entangled TN structures, showed better generalization and robustness and achieved higher testing accuracy, surpassing the performance of locally trained clients under unbalanced data distributions among healthcare institutions.
Abstract In recent years, the concept of federated machine learning has been actively driven by scientists to ease the privacy concerns of data owners. Currently, the combination of machine learning and quantum computing technologies is a hot industry topic and is positioned to be a major disruptor. It has become an effective new tool for reshaping several industries ranging from healthcare to finance. Data sharing poses a significant hurdle for large-scale machine learning in numerous industries. It is a natural goal to study the advanced quantum computing ecosystem, which will be comprised of heterogeneous federated resources. In this work, the problem of data governance and privacy is handled by developing a quantum federated learning approach, that can be efficiently executed on quantum hardware in the noisy intermediate-scale quantum era. We present the federated hybrid quantum–classical algorithm called a quanvolutional neural network with distributed training on different sites without exchanging data. The hybrid algorithm requires small quantum circuits to produce meaningful features for image classification tasks, which makes it ideal for near-term quantum computing. The primary goal of this work is to evaluate the potential benefits of hybrid quantum–classical and classical-quantum convolutional neural networks on non-independently and non-identically partitioned (Non-IID) and real-world data partitioned datasets among several healthcare institutions/clients. We investigated the performance of a collaborative quanvolutional neural network on two medical machine learning datasets, COVID-19 and MedNIST. Extensive experiments are carried out to validate the robustness and feasibility of the proposed quantum federated learning framework. Our findings demonstrate a decrease of 2%–39% times in necessary communication rounds compared to the federated stochastic gradient descent approach. The hybrid federated framework maintained a high classification testing accuracy and generalizability, even in scenarios where the medical data is unevenly distributed among clients.
Healthcare industries frequently handle sensitive and proprietary data, and due to strict privacy regulations, they are often reluctant to share data directly. In today's context, Federated Learning (FL) stands out as a crucial remedy, facilitating the rapid advancement of distributed machine learning while effectively managing critical concerns regarding data privacy and governance. The fusion of federated learning and quantum computing represents a groundbreaking interdisciplinary approach with immense potential to revolutionize various industries, from healthcare to finance. In this work, we proposed a federated learning framework based on quantum tensor networks, which leverages the principles of many-body quantum physics. Currently, there are no known classical tensor networks implemented in federated settings. Furthermore, we investigated the effectiveness and feasibility of the proposed framework by conducting a differential privacy analysis to ensure the security of sensitive data across healthcare institutions. Experiments on popular medical image datasets show that the federated quantum tensor network model achieved a mean receiver-operator characteristic area under the curve (ROC-AUC) between 0.91-0.98. Experimental results demonstrate that the quantum federated global model, consisting of highly entangled tensor network structures, showed better generalization and robustness and achieved higher testing accuracy, surpassing the performance of locally trained clients under unbalanced data distributions among healthcare institutions.
In the healthcare sector, the scarcity of data and privacy concerns present formidable challenges to the widespread adoption of machine learning. In the present-day scenario, Federated Learning (FL) emerges as a pivotal solution, fostering the rapid evolution of distributed machine learning paradigms while adeptly addressing the problem of data governance and privacy. It allows distributed clients to collaboratively train a global model by synchronizing their local updates without sharing private data. In recent years, federated learning and quantum computing have individually shown great promise to revolutionize various sectors, including healthcare, finance, and manufacturing, where privacy protection is paramount. In this article, we propose a communication-efficient Quantum Federated Learning (QFL) framework based on a variational circuit that enables clients to efficiently train and transmit quantum model parameters, thereby reducing communication rounds significantly and enhancing QFL performance using quantum natural gradient descent (QNGD) optimization. This paper demonstrates the feasibility of a QFL framework for predicting the presence of coronary heart disease, diagnosing whether a patient is suffering from diabetes or not, and differentiating malignant and benign cancer by distributing the UCI datasets unbalanced among healthcare institutions. The proposed framework has the potential to incorporate privacy, security, and the expedited processing of distributed data. QNGD outperformed classical GD by reducing communication rounds by a range of 5% to 60%. In addition to reducing the communication rounds by optimizing the QFL training algorithm and achieving quicker convergence, it also determines the important features regardless of the data imbalance among the clients.
AI-driven medical diagnostics increasingly requires collaborative model training across institutions, yet centralizing patient data conflicts with privacy regulations. Federated Learning enables distributed training without raw data sharing, but remains vulnerable to gradient inversion and model leakage attacks. Furthermore, harvest-now-decrypt-later attacks render computationally secure protocols insufficient for protecting long-lived medical records. Quantum communication offers information-theoretic security immune to such threats, making Quantum Federated Learning (QFL) a compelling framework for healthcare. However, practical deployment is constrained by communication overhead and quantum channel noise. We present a systematic quantitative study of communication, convergence, and noise trade-offs in QFL, introducing two complementary strategies to reduce quantum transmissions: (1) structured parameter reduction via light-cone feature selection in parameterized quantum circuits, and (2) a Hybrid QFL architecture that dynamically switches between centralized and decentralized aggregation. We show that Hybrid QFL reduces total quantum transmissions from 3 TNMP3\,TNMP3TNMP, the cost of pure Centralized QFL, to {3t+2(T−t)} NMP\{3t + 2(T - t)\}\,NMP{3t+2(T−t)}NMP over TTT rounds while preserving near-centralized convergence. We further demonstrate that decentralized aggregation is more noise-resilient under depolarizing noise, and evaluate Steane code-based quantum error correction in high-noise regimes. Our results provide an integrated design framework for communication-efficient, noise-aware QFL, clarifying practical trade-offs for scalable quantum-secure distributed learning in healthcare.