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Comparative Evaluation of Quantum-Classical Hybrid Machine Learning Architectures in Healthcare: A Case Study on Heart Disease Prediction

Vikas Garg, Tapsi Nagpal, Svav Prasad

Published May 31, 2026• 0 citations
Publisher

Abstract

Abstract Heart disease remains to be a primary cause of death globally, requiring precise and timely predictive methodologies. Traditional machine learning methods that depend exclusively on classical clinical variables frequently have restricted predictive accuracy and do not adequately use the intricate nonlinear interactions present in patient data. This work examines the effectiveness of hybrid quantum-classical models for predicting heart disease by combining classical clinical data with quantum-derived representations via Variational Quantum Classifier (VQC), Estimator, and Sampler models. Twelve hybrid configurations, integrating three quantum feature maps (Z, ZZ, Pauli) with four ansatz architectures (RealAmplitudes, TwoLocal, EfficientSU2, PauliTwoDesign), were assessed inside the PennyLane and Qiskit frameworks. The results indicate that the VQC model in PennyLane reached optimal performance with Z–TwoLocal and ZZ–PauliTwoDesign configurations, achieving accuracy and F1-scores of up to 0.95. The Estimator model consistently produced reliable predictions, with Pauli–EfficientSU2 and Z–TwoLocal attaining accuracies of up to 0.91 and F1-scores of 0.92 across several frameworks. The Sampler model demonstrated 1reasonable performance, with the Pauli–EfficientSU2 configuration achieving an accuracy of 0.65 and an F1-score of 0.73, underscoring the supplementary role of stochastic quantum sampling. The analysis of feature significance indicated that the quantum-derived feature provided the most robust predictive signal, exceeding classical variables like Age, Blood Pressure, and Cholesterol. These findings demonstrate that meticulous alignment of feature maps and ansatz circuits is essential for optimizing model expressivity, convergence, and predictive effectiveness. In summary, hybrid quantum-classical models, especially the Estimator and VQC architectures, significantly improve heart disease prediction, providing a feasible method for precision clinical decision support and potential incorporation into privacy-preserving, multi-institutional healthcare systems.

DOI
10.21203/rs.3.rs-8209219/v1

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Heart disease is one of the major global causes of death, requiring early and precise detection for efficient treatment.With advancements in quantum computing, Variational Quantum Circuits (VQCs) have gained recognition as a valuable technique for improving learning models in medical diagnosis.This study further explores the application of VQC-based models for heart disease prediction, leveraging quantum computing to enhance classification accuracy.A hybrid quantum-classical model has been developed, which combines classical preprocessing for feature extraction from patient datasets with a VQC-based classifier for medical predictions.The quantum circuit using variational parameters is optimized to reduce the loss function and facilitate effective learning from complex medical data.This proposed approach is tested on benchmark heart disease datasets and evaluated against classical Machine Learning (ML) models, including Support Vector Machines (SVMs), Random Forests, and Neural Networks.The experimental results show that VQC-based models achieve high accuracy and outperform classical models, notably on high-dimensional, non-linearly separable data.The quantum advantage of VQCs lies in their ability to encode and process data in a huge Hilbert space.However, challenges such as noise in near-term quantum devices and scalability issues remain key.This research underscores the efficacy of VQCbased quantum machine learning in medical diagnosis, paving the way for future studies on quantum-enhanced healthcare solutions.Further advancements in quantum hardware and hybrid learning techniques could allow quantum-assisted heart disease prediction to become an effective clinical tool.
Heart disease remains one of the most critical global health concerns, creating a strong need for intelligent and accurate prediction systems. Even while conventional machine learning (ML) has shown promise, handling large and complex medical datasets often reduces the efficiency of traditional machine learning systems. Using a cloud-supported quantum framework, we present a hybrid diagnostic framework that compares three quantum architectures—QSVM, VQC, and QCNN—with five classical algorithms: Random Forest, SVM, KNN, Logistic Regression, and Gradient Boosting. The framework includes a cloud-managed preprocessing stage that uses PCA to map high-impact features, like blood pressure and cholesterol, onto an optimized qubit space in order to overcome the resource limitations of existing NISQ devices. To test the models, the Heart-Disease data set was applied, where classical algorithms demonstrated exceptional performance ranging between 70% to 75%. Specifically, because of the high precision of 0.81, VQC proved to possess remarkable performance on optimized data sets.
Early and accurate prediction of cardiovascular disease is essential to improve patient outcomes and reduce healthcare costs. This research presents a hybrid classical–quantum machine learning framework for heart disease prediction using the Cleveland dataset. The proposed pipeline integrates advanced feature engineering, bio-inspired optimization, and quantum-inspired learning to improve classification performance and interpretability. The system applies multiple feature selection techniques followed by a hybrid feature fusion strategy. Orthogonal Component Analysis is then used for dimensionality transformation, while quantum-inspired feature mapping simulates quantum state coding. A feature selection mechanism based on a Genetic Algorithm optimizes the subset of features. Classical and quantum machine learning models are evaluated, including Random Forest, Gradient Boosting, K-Nearest Neighbors, Logistic Regression, Quantum Support Vector Classifier, Variational Quantum Classifier, Quantum KNN, and Quantum Neural Networks. Model performance is evaluated using accuracy metrics. To ensure transparency and trustworthiness, explainable AI techniques such as SHAP, LIME and DiCE are integrated to provide local and global interpretability of predictions. Experimental results demonstrate that the proposed hybrid framework improves predictive performance by achieving 90% accuracy compared to traditional machine learning approaches, while maintaining model explainability. The model achieved an overall accuracy of 90%, indicating strong predictive capability in cardiovascular disease risk classification. A detailed analysis of class-wise performance shows that for Class 0, the model obtained a precision of 0.85, a recall of 0.97, and an F1-score of 0.90, demonstrating excellent ability to correctly identify negative cases with minimal false negatives. For Class 1, the model achieved a precision of 0.96, a recall of 0.84, and an F1-score of 0.90, indicating high confidence in positive predictions, though with slightly lower recall compared to Class 0. This study highlights the potential of combining classical feature engineering, evolutionary optimization and quantum-inspired learning for next-generation medical decision support systems. The integration of quantum-inspired techniques also provides a promising direction for improving computational efficiency and model robustness in healthcare analytics. The findings suggest that hybrid classical–quantum learning approaches can support clinicians in making faster and more reliable diagnostic decisions.
This research introduces a quantum machine learning (QML) approach for predicting heart disease (HD). The method combines preprocessing of data with quantum feature map (QFM) and quantum classification techniques. In the method, clinical data of HD are preprocessed, and then features are optimized using principal component analysis (PCA). After that, the resulting features are encoded into quantum states with five different QFM methods, namely angle encoding (AE), amplitude encoding (AmE), basis encoding (BE), Pauli encoding (PE), and ZZ feature map (ZZFM). Finally, four quantum classifiers, such as quantum support vector machine (QSVM), quantum k-nearest neighbor (QKNN), quantum random forest (QRF), and variational quantum circuit (VQC), are evaluated to predict the HD from the encoded states. Experimental results show that QSVM with AE achieved the best performance, with an overall accuracy of 90.26%, specificity of 83.42%, sensitivity of 92.16%, precision of 88.89%, F1-score of 89.68%, and kappa value of 0.7608. These results are superior to those from classical state-of-the-art methods. This research finding suggests QML methods can capture complex nonlinear relationships in clinical data effectively and thus improve diagnostic reliability.
Early diagnosis of chronic diseases is paramount to improving patient survival rates, optimizing treatment trajectories, and mitigating escalating healthcare expenditures. While the recent explosion of heterogeneous healthcare data presents robust opportunities for predictive modeling, it simultaneously introduces severe computational bottlenecks regarding data dimensionality and non-linear complexity. This paper proposes a novel, high-performance hybrid prediction framework that seamlessly fuses classical machine learning topologies with Variational Quantum Circuits (VQCs) within a Quantum Machine Learning (QML) paradigm. The proposed architecture targets the multi-classification and risk profiling of five high-prevalence chronic conditions: diabetes, cardiovascular disease, breast cancer, chronic liver disease, and chronic kidney disease This project introduces “Quantum Health,” a Quantum Machine Learning (QML)-based multi disease prediction system that integrates classical and quantum computing to enhance diagnostic performance. It employs five quantum-enhanced models: Quantum Random Forest for breast cancer, Quantum Neural Network for diabetes, Quantum k-Nearest Neighbors (QkNN) for heart disease, Quantum AdaBoost for liver disease, and Quantum Naive Bayes for kidney disease. The models are evaluated using both classical methods and PennyLane simulations, enabling direct comparison of performance. The system is deployed as a Flask-based web application featuring a user-friendly dashboard, disease-specific prediction modules, prediction history with CSV export, and an analytics dashboard comparing classical and quantum accuracies. Each module provides predictions, confidence scores, and feature importance insights. Unlike monolithic classical models, our approach incorporates a parameterized quantum layer that maps low-dimensional classical medical vectors into high-dimensional Hilbert spaces, capturing intricate, non-linear correlations that evade classical kernels. Experimental evaluations executed on simulated quantum backends demonstrate that the proposed Quantum Hybrid Model drastically outperforms conventional baselines, achieving an overall classification accuracy of 96.8% and an Area Under the Curve (AUC) of 98.4%. The findings establish that integrating quantum circuit state vectors with ensemble classical architectures provides a scalable, computationally efficient, and highly generalizable paradigm for next-generation clinical decision support systems.
To forecast heart problems, an innovative hybrid technique combining quantum computing with machine learning approaches is presented. For the preprocessing stage, normalization and dimensionality reduction techniques are used on a dataset of 270 patients' records and 13 clinical variables to make them appropriate for a 4-qubit quantum computer. Some traditional machine learning algorithms, including convolutional neural networks (CNN), support vector machines (SVM), and XGBoost, are trained to establish baselines in relation to other methods. Under the guidance of the SPSA algorithm, a quantum-inspired classifier called VQC is developed using a parameterized quantum circuit that includes rotation and entanglement operations. A quantitative study of crucial performance metrics reveals that the suggested quantum technique outperforms conventional methods in tests. The VQC classifier has the highest accuracy (85.2%), precision (86.4%), and F1 score (82.6%), while matching the SVM classifier's ROC-AUC score of 88.9%. Although with lower dimensionality, this research shows how quantum-based machine learning may find complex correlations among variables. This study is intended to serve as a preliminary concept for using quantum machine learning for healthcare applications, especially for increasing the accuracy rate and lowering misdiagnosis errors.