QAPNet: A Quantum-Attentive Patchwise Network for Robust Medical Image Classification Under Noisy Inputs

Abstract Robust medical image classification under input corruption and bag-level annotation remains a critical challenge in clinical AI applications. We propose QAPNet, a Quantum- Attentive Patchwise Network that integrates quantum neural encoding, additive attention-based instance reweighting, and prototype-contrastive regularization for reliable diagnosis from degraded inputs. Our framework uses a sliding-window strategy to divide each MRI medical Image into overlapping patches, where each is encoded via an 8-qubit quantum circuit using RY -based noise-sensitive layers for yielding expressive low-dimensional representations without relying on classical CNNs. A lightweight additive attention mechanism computes instance-wise importance weights that enable interpretable and noise-aware bag-level aggregation. To enhance robustness, we apply a contrastive loss that aligns clean and noisy embeddings and enforce prototype-guided clustering via class-wise centroids. We evaluate QAPNet across seven benchmark medical imaging datasets under three levels of additive Gaussian noise (σ ∈ {5%, 10%, 30%}). QAPNet consistently outperforms eight strong baselines and achieves up to +20.8% higher accuracy in OASIS (with 30% noise), +17.7% in PathMNIST, and maintains stable performance (< 4% degradation) in all settings. Ablation studies confirm the critical role of quantum encoding, attention-based aggregation, and prototype contrastive learning. These results suggest that QAPNet offers a scalable and interpretable architecture for noisy medical imaging tasks in the real world to bridge the quantum representation learning with robust clinical prediction.