Hybrid Quantum Neural Networks for Enhanced Breast Cancer Thermographic Classification: A Novel Quantum-Classical Integration Approach

The integration of quantum machine learning with classical deep learning offers promising avenues for medical image analysis by mapping data into high-dimensional Hilbert spaces. However, effectively unifying these distinct paradigms remains challenging due to common optimization asymmetries. In this paper, a novel hybrid quantum-classical architecture for breast cancer diagnosis based on a dual-branch feature-extraction pipeline is proposed. Our framework extracts and unifies complementary representations from classical models and quantum circuits, exploring both trainable and deterministic (non-trainable) quantum paradigms. To integrate these embeddings, three progressive feature fusion strategies are introduced: Static Hybrid Fusion (SHF) for offline extraction, Dynamic Hybrid Fusion (DHF) for end-to-end co-adaptation, and a novel Temperature-Scaled Hybrid Fusion (TSHF). The TSHF strategy incorporates a learnable scalar, inspired by multimodal learning, that dynamically balances hybrid gradient dynamics and resolves optimization bottlenecks. Empirical validation on the BreastMNIST dataset confirms our hypothesis that unifying diverse feature representations creates a richer data context. The TSHF strategy, specifically when pairing a ResNet backbone with a trainable quantum circuit, achieved a peak accuracy of 87.82%, F1-score of 91.77%, and an AUC-ROC of 89.08%, outperforming purely classical baselines. These results demonstrate that the proposed hybrid framework improves classification accuracy and threshold reliability, providing a stable, high-performance architecture for the clinical deployment of quantum-enhanced diagnostic tools.

Accurate classification of microscopic blood cells is still a critical task in medical image analysis, where subtle variations and limited data can challenge conventional deep learning models. As such, we investigate in this work the potential of Hybrid Quantum-Classical Neural Networks (HQNNs) to enhance feature representation and improve classification performance in this domain. We propose a modular architecture combining a pre-trained ResNet-50 backbone with a low-dimensional latent bottleneck and a variational quantum circuit, enabling a direct comparison between quantum-enhanced and purely classical transformation mechanisms. To isolate the contribution of the quantum component, we evaluate three architectures: a HQNN model, a Classical Matched Model with an additional nonlinear transformation layer of comparable capacity, and a baseline model without an intermediate transformation stage. Experiments conducted on two publicly available blood cell datasets, namely the Blood Cell Images dataset and the PBC dataset, demonstrate that HQNNs consistently achieve superior or more balanced performance across evaluation metrics. In the Blood Cell Images Dataset, the proposed approach improves macro F1-score by up to 3.7% compared to classical baselines, while improving the F1-score from 98.54% to 98.69% in the more challenging 8-class scenario with near-saturated performance. Additional evaluation on IBM quantum hardware shows that the model remains robust under noise, with only a modest performance degradation relative to simulated results. These results indicate that quantum feature transformations can enhance discriminative representations, particularly in challenging classification scenarios, and highlight the practical potential of HQNN models for medical imaging tasks.

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.