The Role of Quantum in Hybrid Quantum-Classical Neural Networks: An Empirical Assessment

Artificial intelligence has been transformed by deep neural networks, yet the search for new learning architectures continues. Quantum machine learning offers one such direction, and hybrid quantum neural networks, which combine classical neural-network components with quantum information processing units, have emerged as a practical framework for near-term quantum technologies. However, the rapid development of the field across diverse architectures, benchmarks and hardware assumptions makes it difficult to assess the utility of various proposals, identify where genuine advantages may arise, and determine how practitioners can use these models. While recent benchmarks caution that such gains have not yet been demonstrated at scale, theoretical work has identified tasks on which quantum models hold provable advantages, and hybrid approaches have delivered promising results on practical problems using deliberately compact quantum components and substantially fewer trainable parameters. Here, we review hybrid quantum neural networks for the machine-learning and quantum-machine-learning communities. We summarize their main theoretical and methodological foundations, survey some of the most promising architectures developed so far, and examine their implementation challenges and reported performance. By consolidating these perspectives, this review provides a structured view of the state of the field and helps identify promising paths for future research and application-driven development.

Numerous studies have analyzed the use of hybrid quantum-classical convolutional neural networks as a promising alternative to classical deep learning. However, network components on quantum hardware impose fundamental limitations, while the scalability of quantum circuits leads to trainability issues. In this work, we investigate whether small, classically-emulated quantum circuit components can play a meaningful role within complex models, offering an alternative to purely classical convolutional architectures. To this end, we present a systematic study of the effectiveness of a Hybrid Quantum-inspired Convolutional Neural Network (HQiCNN) compared with a parameter-matched classical Convolutional Neural Network (CNN) that differs only in an intermediate dense neural layer. Both models are evaluated on two real-world medical datasets while systematically varying the different hyperparameters, ensuring a fair model comparison that is both dataset and hyperparameter independent. The results show that no architecture consistently dominates the other: the HQiCNN achieves its largest gains in intermediate-data regimes, whereas the CNN reaches the highest accuracies for the largest training sets in both datasets. Furthermore, removing entanglement produces comparable performance while enabling substantially better scalability of quantum simulations, and richer observable sets become beneficial only when sufficient training data are available. Finally, we propose two SHAP-based explainability tools for comparing the predictions between both models, $|SHAP|$IoU and $EMD_{pos}$ metric, to demonstrate that both architectures consistently attend to anatomically plausible regions. Thus, we provide a comprehensive benchmark showing that, under certain conditions, hybrid quantum-inspired models are an alternative that can offer benefits in practical tasks such as medical image classification.

Hybrid quantum-classical neural networks (HQNNs) are emerging as a practical approach for quantum machine learning in the noisy intermediate-scale quantum (NISQ) era, as they combine classical learning components with parameterized quantum circuits in an end-to-end trainable framework. However, their performance and efficiency depend strongly on architectural choices such as data encoding, circuit structure, measurement design, and the coupling between classical and quantum modules. This makes manual design increasingly difficult, especially when hardware limitations and resource constraints must also be taken into account. In this paper, we study the foundations of HQNNs and neural architecture search (NAS), discuss how NAS extends to quantum and hybrid settings, and demonstrate FLOPs-aware search (where FLOPs serve as a proxy for computational complexity), as an important hardware-aware direction for building HQNNs that are not only accurate but also computationally efficient and practically deployable.