Domain Generalization with Quantum Enhancement for Medical Image Classification: A Lightweight Approach for Cross-Center Deployment

Abstract: Medical image artificial intelligence models often achieve strong performance in single-center or single-device settings, yet their effectiveness frequently deteriorates in real-world cross-center deployment due to domain shift, limiting clinical generalizability. To address this challenge, we propose a lightweight domain generalization framework with quantum-enhanced collaborative learning, enabling robust generalization to unseen target domains without relying on real multi-center labeled data. Specifically, a MobileNetV2-based domain-invariant encoder is constructed and optimized through three key components: (1) multi-domain imaging shift simulation using brightness, contrast, sharpening, and noise perturbations to emulate heterogeneous acquisition conditions; (2) domain-adversarial training with gradient reversal to suppress domain-discriminative features; and (3) a lightweight quantum feature enhancement layer that applies parameterized quantum circuits for nonlinear feature mapping and entanglement modeling. In addition, a test-time adaptation strategy is employed during inference to further alleviate distribution shifts. Experiments on simulated multi-center medical imaging datasets demonstrate that the proposed method significantly outperforms baseline models without domain generalization or quantum enhancement on unseen domains, achieving reduced domain-specific performance variance and improved AUC and sensitivity. These results highlight the clinical potential of quantum-enhanced domain generalization under constrained computational resources and provide a feasible paradigm for hybrid quantum--classical medical imaging systems.