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Electronics

Hybrid Quantum–Classical Convolutional Neural Networks for Medical Image Classification: A Review of Architectures, Applications, and NISQ Challenges

Fatima Kamran, M. Turki-Hadj Alouane

Published Oct 11, 2026• 0 citations
Publisher

Abstract

Deep learning techniques have significantly enhanced medical image classification for disease diagnosis. However, traditional deep learning models face several challenges, such as dependence on large annotated datasets, complex architectural layers, and millions of trainable parameters, which can increase computational load and cause overfitting. Although quantum computing offers potential for parallel processing and improved feature representation, its practical use is limited by the current capabilities of Noisy Intermediate-Scale Quantum (NISQ) hardware. To overcome these issues, Hybrid Quantum–Classical Convolutional Neural Networks (HQCNNs) have been developed, using quantum properties like superposition and entanglement to improve feature extraction and classification of medical images. This review offers a thorough analysis of 50 peer-reviewed studies published from 2021 to 2026 and introduces a taxonomy of HQCNN architectures. It classifies existing approaches into three categories: Quantum-to-Classical, Classical-to-Quantum, and Hybrid Quantum Transfer Learning. The studies reviewed encompass a diverse range of medical imaging applications, including binary and multi-class disease classification using X-ray, CT, MRI, ultrasound, dermoscopic, retinal, and mammographic images. Additionally, the review compares HQCNNs with their classical CNN counterparts, exploring how factors like quantum circuit design, dataset size, class imbalance, task complexity, evaluation protocols, and hardware limitations influence classification performance. It concludes with an analysis of the key limitations of current HQCNN models, discusses challenges in deploying NISQ devices practically, and proposes future research directions to bridge the gap between experimental HQCNN frameworks and reliable clinical diagnostic systems.

DOI
10.3390/electronics15204651

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Deep learning techniques have significantly enhanced medical image classification for disease diagnosis. However, traditional deep learning models face several challenges, such as dependence on large annotated datasets, complex architectural layers, and millions of trainable parameters, which can increase computational load and cause overfitting. Although quantum computing offers potential for parallel processing and improved feature representation, its practical use is limited by the current capabilities of Noisy Intermediate-Scale Quantum (NISQ) hardware. To overcome these issues, Hybrid Quantum–Classical Convolutional Neural Networks (HQCNNs) have been developed, using quantum properties like superposition and entanglement to improve feature extraction and classification of medical images. This review offers a thorough analysis of 50 peer-reviewed studies published from 2021 to 2026 and introduces a taxonomy of HQCNN architectures. It classifies existing approaches into three categories: Quantum-to-Classical, Classical-to-Quantum, and Hybrid Quantum Transfer Learning. The studies reviewed encompass a diverse range of medical imaging applications, including binary and multi-class disease classification using X-ray, CT, MRI, ultrasound, dermoscopic, retinal, and mammographic images. Additionally, the review compares HQCNNs with their classical CNN counterparts, exploring how factors like quantum circuit design, dataset size, class imbalance, task complexity, evaluation protocols, and hardware limitations influence classification performance. It concludes with an analysis of the key limitations of current HQCNN models, discusses challenges in deploying NISQ devices practically, and proposes future research directions to bridge the gap between experimental HQCNN frameworks and reliable clinical diagnostic systems.
Significant advances have been made in quantum computing, enabling researchers to create hybrid quantum- classical learning models for various tasks, including medical image classification. The classical approach to deep learning often faces challenges with limited data availability, high computational costs, and poor generalization. The hybrid Quantum- Classical Convolutional Neural Networks (HQCNNs) provide a new direction for overcoming the challenges faced by classical approaches. The hybrid approach enables the use of quantum circuits for feature encoding in higher-dimensional space, improving discrimination between patterns and reducing overfitting. In this paper, a hybrid quantum-classical convolutional neural network is developed for medical image classification. The hybrid approach is expected to capture non-linear relationships within medical image data while maintaining a lightweight network structure. The hybrid approach is found to have significant potential for efficient operation with limited data availability and noisy data. The classical approach is often outperformed by the hybrid approach. The focus of this paper is on architectural design and analysis of the developed hybrid quantum-classical convolutional neural network. The advantages of the developed hybrid quantum-classical convolutional neural network are de- lineated, including current challenges with quantum hardware.
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.
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.
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.
Given the recent prominence of Noisy Intermediate Scale Quantum (NISQ) devices, hybrid quantum-classical neural networks have recently drawn a lot of excitement as a potential solution to improving learning efficiency. Our current paper describes a Hybrid Quantum-Classical Convolutional Neural Network (HQCNN) which is defined as a pretrained backbone of ResNet-18 and a small quantum-enhanced feature-transformation layer of Qiskit. The convolutional high-dimensional features are reduced to the classical eight-dimensional one, which in turn is encoded into a four-qubit parameterized quantum circuit. The resultant quantum expectation values are combined with the compressed features to come up with a hybridized representation of twelve dimensions, used to classify multi-class dataset. Experimental analysis of CIFAR10 data has shown that the suggested HQCNN achieves a test accuracy of 94.74% and improves class-wise precision, recall, and F1-scores than a number of existing hybrid models while using a significantly smaller number of latent features. More investigation into the quantum module indicates that it is predictable about scalability to batch, resistant to perturbations in features, and efficiently performed by evaluating circuit vectors. These results indicate that compact and expressive representations of images that can be helpful in the NISQ era can be acquired using hybrid architectures, thus providing a practical way to forward the benefits of quantum to modern deep-learning pipelines.
Quantum circuits and classical convolutional neural networks are used in hybrid quantum-classical neural networks (HQCNNs) to classify medical images, particularly MRI and CT scans for bone cancer diagnosis. This review covers cutting-edge hybrid designs for parallel quantum circuit tumour detection, illness diagnosis, and anatomical pattern identification. Recent research reveal methodological trends, performance benchmarks, and architectural advances that improve classification accuracy, computing efficiency, and parameter optimisation by quantum. On medical imaging datasets like musculoskeletal imaging, parallel quantum computing architectures train 12 times quicker while keeping accuracy. Quantum hardware limits, noise resilience, scalability restrictions, and model interpretability are discussed in relation to clinical bone cancer screening implementation. Quantum transfer learning, federated quantum machine learning, and orthopaedic imaging-optimized hardware-aware quantum circuit design are future directions.