Abstract / Summary
Background: and Objectives: Quantum machine learning (QML) leverages quantum computing principles to enhance artificial intelligence applications in health care. We aimed to conduct a systematic literature review following Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines to evaluate QML and quantum-assisted artificial intelligence (AI) applications in orthopedics and medicine.
Materials and Methods: Comprehensive searches were performed across SciSpace, Google Scholar, and PubMed, yielding 1,068 initial records. After deduplication (819 unique records), abstract screening (threshold ≥4.0), and full-text screening (threshold ≥4.5), 97 studies met the inclusion criteria. Screening criteria included medical and orthopedic application, quantum-enhanced AI intervention, comparative performance evaluation, and clinical/computational outcome reporting. Data extraction focused on study design, quantum ML methods, medical application domains, key findings, performance comparisons, and clinical implications. Prediction model Risk of Bias Assessment Tool (PROBAST) guidelines were used to assess risk of the studies that report superior performance of QML over conventional ML or others.
Results: The 97 included studies demonstrated diverse applications of QML across multiple medical domains, including orthopedics, oncology, cardiology, neurology, ophthalmology, and other specialties. Quantum approaches included quantum neural networks, quantum support vector machines, variational quantum classifiers, hybrid quantum-classical models, quantum transfer learning, and quantum federated learning. Performance comparisons consistently showed quantum-enhanced methods achieving comparable or superior accuracy to classical approaches. The overall risk of bias for all 11 studies with superior performance was determined as high risk using PROBAST guidelines.
Conclusions: QML demonstrates significant promise for enhancing diagnostic accuracy, treatment optimization, and predictive analytics in orthopedics and medicine. Although current implementations face challenges related to hardware limitations, scalability, and clinical validation requirements, the evidence suggests that hybrid quantum-classical approaches offer practical pathways toward clinical adoption with the awareness of reports with high risk of bias. Future studies should focus on large-scale clinical trials and real-world validation of QML.