Quantum-Assisted Deep Learning: A Hybrid Approach for Robust COVID-19 Diagnosis in Medical Imaging | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Quantum-Assisted Deep Learning: A Hybrid Approach for Robust COVID-19 Diagnosis in Medical Imaging Seyedeh Aram Salehi, Hanieh Naderi This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7394093/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 9 You are reading this latest preprint version Abstract Classical deep learning models often struggle to fully capture complex visual patterns and to generalize effectively when trained on limited or imbalanced medical imaging data. To address this limitation, this paper presents a novel Hybrid Quantum Deep Learning (Hybrid QDL) framework that leverages the strengths of both deep neural networks and quantum circuits for advanced medical image interpretation. The proposed model integrates a pre-trained EfficientNet-B4 as the feature extractor and a variational quantum circuit as the classification head, enabling joint learning of hierarchical and quantum-enhanced representations. The Hybrid QDL model is evaluated on three clinically relevant datasets: COVIDx (for 3-class COVID-19 diagnosis using chest X-rays), PneumoniaMNIST (for pneumonia detection), and OrganAMNIST (for multi-organ abdominal classification). The model achieves state-of-the-art results, with 98.48% accuracy and 98.33% F1-score on COVIDx, outperforming both classical and prior quantum baselines. On PneumoniaMNIST and OrganAMNIST, it reaches 98.28% and 95.27% accuracy, respectively, along with high macro F1-scores. Ablation studies confirm that increasing quantum circuit depth and entanglement enhances discriminative power, particularly in complex multi-class scenarios. These results demonstrate that the Hybrid QDL framework is a robust, scalable solution for automated medical diagnosis and holds significant promise for real-world clinical decision support and COVID-19 detection. Quantum Machine Learning (QML) Hybrid Quantum-Classical Model Deep Neural Networks EfficientNet-B4 Variational Quantum Circuit COVID-19 Diagnosis Medical Image Classification PneumoniaMNIST OrganAMNIST Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Under Review Version 1 posted Reviewers agreed at journal 19 May, 2026 Reviewers agreed at journal 18 May, 2026 Reviews received at journal 25 Dec, 2025 Reviewers agreed at journal 13 Nov, 2025 Reviewers agreed at journal 09 Nov, 2025 Reviewers invited by journal 07 Nov, 2025 Editor assigned by journal 09 Sep, 2025 Submission checks completed at journal 25 Aug, 2025 First submitted to journal 17 Aug, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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