Although automated diagnosis in medical imaging has made tremendous breakthroughs with deep learning, current models also exhibit difficulties with representation stability, calibration, and robustness to domain heterogeneity. Traditional methods that use deeper CNN or transformer networks incur greater computational costs without fully addressing feature separability and uncertainty estimation. To address these shortcomings, the present study proposes a hybrid quantum-classical approach, VQMedNet, that integrates variational quantum circuits with classical feature extraction for supervised classification of MRI and CT images. The suggested QFeatEmbed-VQC module is an NISQ-conscious nonlinear quantum feature embedding that can be trained on tokenised and compressed image features, enabling effective learning with constrained quantum resources. A gradual training approach is followed to achieve consistent optimisation, and calibration-sensitive assessment is included to measure the predictability. The experiments with the brain tumour MRI (BraTS) and lung CT (LIDC-IDRI) datasets show a stable increase over the classical baseline, achieving 95.6% accuracy and 0.947 Macro-F1 on MRI classification, and 93.1% accuracy with improved AUC-PR on CT tasks. Additional analyses show enhanced embedding separability, robustness to domain perturbations, and reduced Expected Calibration Error. Moreover, the findings suggest that moderate-depth quantum circuits offer a good balance between performance and computational complexity. Although tested under simulation-based conditions, the proposed framework can indicate the potential of quantum-enhanced feature embedding for building stable and efficient medical AI systems. It may be seen as a promising approach to future NISQ-aware diagnostics. The implementation is publicly available at: https://github.com/gvvsrk/QuantumMed-FedDx . Clinical trial number: Not applicable.
Although automated diagnosis in medical imaging has made tremendous breakthroughs with deep learning, current models also exhibit difficulties with representation stability, calibration, and robustness to domain heterogeneity. Traditional methods that use deeper CNN or transformer networks incur greater computational costs without fully addressing feature separability and uncertainty estimation. To address these shortcomings, the present study proposes a hybrid quantum-classical approach, VQMedNet, that integrates variational quantum circuits with classical feature extraction for supervised classification of MRI and CT images. The suggested QFeatEmbed-VQC module is an NISQ-conscious nonlinear quantum feature embedding that can be trained on tokenised and compressed image features, enabling effective learning with constrained quantum resources. A gradual training approach is followed to achieve consistent optimisation, and calibration-sensitive assessment is included to measure the predictability. The experiments with the brain tumour MRI (BraTS) and lung CT (LIDC-IDRI) datasets show a stable increase over the classical baseline, achieving 95.6% accuracy and 0.947 Macro-F1 on MRI classification, and 93.1% accuracy with improved AUC-PR on CT tasks. Additional analyses show enhanced embedding separability, robustness to domain perturbations, and reduced Expected Calibration Error. Moreover, the findings suggest that moderate-depth quantum circuits offer a good balance between performance and computational complexity. Although tested under simulation-based conditions, the proposed framework can indicate the potential of quantum-enhanced feature embedding for building stable and efficient medical AI systems. It may be seen as a promising approach to future NISQ-aware diagnostics. The implementation is publicly available at: https://github.com/gvvsrk/QuantumMed-FedDx . Clinical trial number: Not applicable.
Accurate classification of glioma grades from magnetic resonance imaging (MRI) is essential for clinical decision-making in neuro-oncology. Although deep learning performance has been impressive with classical models, they struggle with high-dimensional medical imaging data and generalise poorly beyond their training data, especially in time- and resource-constrained settings. In light of the aforementioned challenges, we propose QuantumMedDx, a hybrid quantum–classical learning framework for classifying gliomas using MRI. The framework combines quantum feature encoding and variational quantum circuits with classical neural inference to improve diagnostic performance. The base model, QImageNet, uses amplitude-based quantum encoding for writing, entanglement-enabled parameterised quantum circuits (EPQCs) as feature extractors, and classical dense layers for classifying HGG and LGG from multimodal MRI slices. We demonstrate the effectiveness of the proposed approach on the BraTS 2021 benchmark dataset using a patient-aware 5-fold cross-validation protocol. Experimental results show that QuantumMedDx achieves accuracies of 94.12%, 93.30%, and 96.42%; F1-scores of 93.30% and 96.42%; and AUCs of 96.42% and 96.42%, respectively, outperforming conventional CNN, DNN, and SVM baselines. Ablation studies provide additional evidence of the performance improvements enabled by quantum Fourier transform and entanglement layers. Such results suggest that quantum–classical learning can efficiently improve feature extraction and discrimination in medical imaging, thus providing a modular and scalable route towards quantum–inspired clinical decision–support systems of the future.
The problem of classifying brain tumours using magnetic resonance imaging (MRI) is a fundamental one in the field of computeraided diagnosis, since although many commonly employed convolutional neural network (CNN) architectures provide high accuracy they contain a large number of parameters, which has led to a search for more compact network designs. In this paper a hybrid quantum–classical approach is proposed that combines a lightweight CNN feature extractor with a trainable variational quantum circuit (VQC) in order to carry out four-class brain tumour classification. The MRI images are resized to 128 by 128 pixels and then processed by a small three-block CNN that reduces each image to an 8-dimensional feature vector. This vector is put into an 8-qubit quantum register by means of angle embedding and then acted on by a variational circuit composed of strongly entangling layers, by measuring each qubit in the Pauli-Z basis. The quantum features thus obtained are then fed into classical dense layers that categorise the images as glioma, meningioma, pituitary tumour or no tumour. The framework was tested on the Brain Tumor MRI dataset (7,200 images) and compared with a classical CNN baseline that was trained under the same conditions. The hybrid model reached a test accuracy of 76.88%, as compared to 72.31% for the classical baseline an improvement of 4.57 percentage points together with corresponding increases in macro-averaged precision, recall and F1-score. Notably, the hybrid model needed only 72 additional trainable parameters when compared to the classical baseline. The fact that the quantum layer was assessed using a noiseless simulator rather than on actual quantum hardware means that these results should be seen as indicating the feasibility of using compact quantum feature transformations for medical image classification rather than as showing a quantum advantage.
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.
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.
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.
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.