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Proceedings of the AAAI Conference on Artificial Intelligence

QAPNet: A Quantum-Attentive Patchwise Network for Robust Medical Image Classification Under Noisy Inputs

Maqsudur Rahman, Jun Zhuang

Published Mar 14, 2026• 0 citations
Publisher

Abstract

Robust medical image classification under input corruption and bag-level annotation remains a critical challenge in clinical AI applications. We propose QAPNet, a Quantum- Attentive Patchwise Network that integrates quantum neural encoding, additive attention-based instance reweighting, and prototype-contrastive regularization for reliable diagnosis from degraded inputs. Our framework uses a sliding-window strategy to divide each MRI medical Image into overlapping patches, where each is encoded via an 8-qubit quantum circuit using RY -based noise-sensitive layers for yielding expressive low-dimensional representations without relying on classical CNNs. A lightweight additive attention mechanism computes instance-wise importance weights that enable interpretable and noise-aware bag-level aggregation. To enhance robustness, we apply a contrastive loss that aligns clean and noisy embeddings and enforce prototype-guided clustering via class-wise centroids. We evaluate QAPNet across seven benchmark medical imaging datasets under three levels of additive Gaussian noise (σ ∈ {5%, 10%, 30%}). QAPNet consistently outperforms eight strong baselines and achieves up to +20.8% higher accuracy in OASIS (with 30% noise), +17.7% in PathMNIST, and maintains stable performance (< 4% degradation) in all settings. Ablation studies confirm the critical role of quantum encoding, attention-based aggregation, and prototype contrastive learning. These results suggest that QAPNet offers a scalable and interpretable architecture for noisy medical imaging tasks in the real world to bridge the quantum representation learning with robust clinical prediction.

DOI
10.1609/aaai.v40i30.39695

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Robust medical image classification under input corruption and bag-level annotation remains a critical challenge in clinical AI applications. We propose QAPNet, a Quantum- Attentive Patchwise Network that integrates quantum neural encoding, additive attention-based instance reweighting, and prototype-contrastive regularization for reliable diagnosis from degraded inputs. Our framework uses a sliding-window strategy to divide each MRI medical Image into overlapping patches, where each is encoded via an 8-qubit quantum circuit using RY -based noise-sensitive layers for yielding expressive low-dimensional representations without relying on classical CNNs. A lightweight additive attention mechanism computes instance-wise importance weights that enable interpretable and noise-aware bag-level aggregation. To enhance robustness, we apply a contrastive loss that aligns clean and noisy embeddings and enforce prototype-guided clustering via class-wise centroids. We evaluate QAPNet across seven benchmark medical imaging datasets under three levels of additive Gaussian noise (σ ∈ {5%, 10%, 30%}). QAPNet consistently outperforms eight strong baselines and achieves up to +20.8% higher accuracy in OASIS (with 30% noise), +17.7% in PathMNIST, and maintains stable performance (< 4% degradation) in all settings. Ablation studies confirm the critical role of quantum encoding, attention-based aggregation, and prototype contrastive learning. These results suggest that QAPNet offers a scalable and interpretable architecture for noisy medical imaging tasks in the real world to bridge the quantum representation learning with robust clinical prediction.
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.
Classification of medical images plays a vital role in medical image analysis; however, it remains challenging due to the limited availability of labeled data, class imbalances, and the complexity of medical patterns. To overcome these challenges, we propose a novel Hybrid Quantum-Classical Neural Network (HQCNN) for both binary and multi-class classification. The architecture of HQCNN integrates a five-layer classical convolutional backbone with a 4-qubit variational quantum circuit that incorporates quantum state encoding, superpositional entanglement, and a Fourier-inspired quantum attention mechanism. We evaluate the model on six MedMNIST v2 benchmark datasets. The HQCNN consistently outperforms classical and quantum baselines, achieving up to 99.91% accuracy and 100.00% AUC on PathMNIST (binary) and 99.95% accuracy on OrganAMNIST (multi-class) with strong robustness on noisy datasets like BreastMNIST (87.18% accuracy). The model demonstrates superior generalization capability and computational efficiency, accomplished with significantly fewer trainable parameters, making it suitable for data-scarce scenarios. Our findings provide strong empirical evidence that hybrid quantum-classical models can advance medical imaging tasks.
Medical image denoising remains challenging because imaging modalities and acquisition conditions produce heterogeneous and non-stationary noise. Although recent deep-learning and diffusion-based approaches achieve strong restoration performance, many methods rely on fixed transformations or require substantial computational resources. This work proposes the Noise-Adaptive Quantum Attention Network (NAQAN), a hybrid quantum–classical framework for noise-conditioned medical image denoising. NAQAN combines a lightweight convolutional encoder–decoder with an eight-qubit variational quantum attention mechanism whose circuit parameters are dynamically modulated by a specified noise-level conditioning variable. Feature-wise Linear Modulation (FiLM) provides complementary classical conditioning, while residual learning is used for image reconstruction. The present implementation is noise-conditioned rather than fully blind; the corresponding noise level is supplied to the model during both training and evaluation. Experiments on RetinaMNIST, OCTMNIST, Diabetic Retinopathy, and BraTS MRI under Gaussian, speckle, and Poisson corruption demonstrate consistent restoration performance across different imaging modalities and noise conditions. On BraTS MRI, NAQAN achieves a PSNR of 39.11dB and an SSIM of 0.9548. Controlled comparisons with classical denoising baselines and a parameter-matched classical attention variant further evaluate the contribution of the proposed quantum attention mechanism. NAQAN performs denoising through a single forward inference pass; however, simulation of the quantum circuit introduces additional computational overhead relative to the matched classical variant. These results demonstrate the potential of noise-conditioned hybrid quantum–classical attention for medical image restoration while motivating further evaluation on physical quantum hardware and clinically oriented downstream tasks.
Achieving reliable radiological image classification requires not only high accuracy, but also well-calibrated uncertainty estimates, robustness in the face of domain shifts, and generalizability across various imaging modalities. Current deep learning methodologies for medical image classification frequently display overconfident predictions and experience significant degradation under realistic clinical conditions, such as label noise, limited training data, and distribution shifts between institutions. Hybrid quantum–classical machine learning has emerged as a promising paradigm; however, existing studies in medical imaging predominantly focus on single-modality and accuracy-centric approaches. In this study, we introduced Q-CaMIR (Cross-Modal, Uncertainty-Aware Hybrid Quantum–Classical Learning), a novel framework that integrates chest X-ray and brain MRI classification within a unified hybrid quantum–classical architecture, incorporating explicit uncertainty quantification. Q-CaMIR utilizes a pretrained classical vision backbone to extract modality-agnostic latent representations, aligns cross-modal features through a contrastive representation module, and channels the resulting compact embeddings through a variational quantum circuit (VQC) decision head, enhanced with evidential deep learning for uncertainty-aware prediction. We evaluated Q-CaMIR on three public benchmarks: CheXpert and MIMIC-CXR (external validation) for chest radiograph classification, and BraTS 2021 for brain tumor classification, employing a comprehensive suite of metrics including accuracy, macro-F1, AUROC, AUPRC, expected calibration error (ECE), and Brier score. Extensive experiments under low-data regimes, synthetic label noise, intensity corruption, and cross-institutional domain shifts demonstrate that Q-CaMIR achieves competitive classification performance compared to robust classical baselines while significantly improving calibration (up to 47% ECE reduction) and robustness. Ablation studies confirm the complementary contributions of the quantum decision head and uncertainty-aware training objective. Our findings suggest that hybrid quantum–classical learning provides a meaningful inductive bias for uncertainty-sensitive radiological classification, advancing towards clinically deployable AI systems for radiation-related diagnostic workflows.
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.