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Hybrid Classical-Quantum Transfer Learning for Cardiomegaly Detection in Chest X-rays
Pierre Decoodt1, Tan Jun Liang2,3, Soham Bopardikar4
1Cardiologie, Centre Hospitalo-Universitaire Brugmann, Faculté de Médecine, Université Libre de Bruxelles, Place Van Gehuchten 4, 1020 Brussels, Belgium.
Insights
Quantum machine learning models show promise for detecting cardiomegaly (enlarged heart) in chest X-rays (CXRs). These hybrid classical-quantum models achieved high accuracy, rivaling traditional methods and improving visualization for healthcare professionals.
Area of Science:
- Quantum computing applications in healthcare
- Machine learning for medical image analysis
- Cardiovascular disease diagnostics
Background:
- Cardiovascular diseases pose significant health challenges.
- Chest X-rays (CXRs) are crucial for diagnosing conditions like cardiomegaly.
- Quantum machine learning (QML) offers potential advancements in medical imaging analysis.
Purpose of the Study:
- To develop and evaluate hybrid classical-quantum (CQ) transfer learning models for detecting cardiomegaly in CXRs.
- To compare the performance of CQ models against classical-classical (CC) models.
- To assess the interpretability of CQ models using heatmaps.
Main Methods:
- Designed hybrid CQ transfer learning models integrating parameterized quantum circuits (using Qiskit and PennyLane) with classical networks (PyTorch).
- Utilized a balanced dataset of 2436 posteroanterior CXRs from the CheXpert repository.
- Employed k-fold cross-validation and a state vector simulator for training CQ models.
- Analyzed trainability using normalized global effective dimension.
Main Results:
- Achieved high predictive performance with ROC AUC scores up to 0.93 and accuracies up to 0.87, comparable to CC models.
- Demonstrated significantly more frequent visualization of trustworthy Grad-CAM++ heatmaps covering the heart with CQ models (94%) compared to CC models (61%).
Conclusions:
- Hybrid classical-quantum models show strong potential for accurate cardiomegaly detection in CXRs.
- The enhanced interpretability of CQ models may increase their adoption by healthcare professionals.
- QML represents a promising frontier for improving cardiovascular diagnostics through medical imaging.
Abstract:
Cardiovascular diseases are among the major health problems that are likely to benefit from promising developments in quantum machine learning for medical imaging. The chest X-ray (CXR), a widely used modality, can reveal cardiomegaly, even when performed primarily for a non-cardiological indication. Based on pre-trained DenseNet-121, we designed hybrid classical-quantum (CQ) transfer learning models to detect cardiomegaly in CXRs. Using Qiskit and PennyLane, we integrated a parameterized quantum circuit into a classic network implemented in PyTorch. We mined the CheXpert public repository to create a balanced dataset with 2436 posteroanterior CXRs from different patients distributed between cardiomegaly and the control. Using k-fold cross-validation, the CQ models were trained using a state vector simulator. The normalized global effective dimension allowed us to compare the trainability in the CQ models run on Qiskit. For prediction, ROC AUC scores up to 0.93 and accuracies up to 0.87 were achieved for several CQ models, rivaling the classical-classical (CC) model used as a reference. A trustworthy Grad-CAM++ heatmap with a hot zone covering the heart was visualized more often with the QC option than that with the CC option (94% vs. 61%, p < 0.001), which may boost the rate of acceptance by health professionals.
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Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...