MAIA-QED Approach

POC Plan

QED (Quantum Enhanced Diagnostics) represents a paradigm shift in retinal imaging analysis, moving beyond traditional compression to a cognitive framework that understands and reconstructs OCT data through quantum-enhanced cognition, with applications in both eye care and neuroscience.

Quantum-Cognitive Architecture

QED's qodec (quantum-cognitive encoder) uses a three-layered approach to data distillation:

  • Semantic Layer (YOLOv8+CLIP): Identifies and extracts diagnostically relevant features like lesions, fluid regions, and structural anomalies
  • Motion Layer (Sparse RAFT): Tracks temporal changes in fluid volumes and vascular flow, critical for monitoring treatment response
  • Fractal-Edge Layer: Preserves fine anatomical boundaries and textures essential for diagnostic accuracy

Unlike traditional compression that focuses on pixel preservation, QED's Perceptual Decomposition Engine mimics human diagnostic reasoning, prioritizing pathology over pixels. This cognitive approach enables a 92% reduction in data size (from 10GB to just 20MB) while maintaining diagnostic fidelity.

Quantum-Cognitive Visualization

These visualizations represent the quantum-cognitive patterns that QED identifies and leverages for optimal diagnostic encoding while preserving clinical quality.

QED Quantum-Cognitive Pattern - Software Visualization

Perceptual Decomposition Engine

Semantic and motion layer extraction

QED Quantum Processing Unit Visualization

QAOA Optimization Module

Diagnostic relevance prioritization

QED Cognitive Distillation Funnel Visualization

Cognitive Distillation Funnel

Data understanding pathway with 92% reduction

QED ESRGANx4 Reconstruction Visualization

ESRGANx4 Reconstruction

4K enhancement with inferred details

Application to Retinal Imaging

QED's cognitive-quantum technology transforms retinal imaging in several key ways:

  • Cognitive Data Distillation: Reduces OCT datasets from 10GB to 2GB (structure.maia + key.maia files), an 80% reduction that enables efficient telemedicine
  • Diagnostic Enhancement: ESRGANx4 reconstruction can enhance details beyond the original resolution, supporting 4K perspectives with inferred microaneurysm patterns
  • Resource Optimization: Particularly beneficial for resource-limited healthcare settings, reducing storage and bandwidth requirements
  • Quality Preservation: Maintains diagnostic quality with VMAF ≥95, focusing on clinically relevant features
  • Biomarker Detection: Quantum-encoded features enable potential detection of Alzheimer's biomarkers in AMD patients

QED Cognitive-Quantum Workflow

The QED process follows a sophisticated cognitive workflow that prioritizes diagnostic understanding over pixel preservation:

Input OCT Video

Raw OCT video data (10GB)

Perceptual Decomposition Engine

Extracting semantic, motion, and fractal-edge layers

QAOA Optimization

Balancing VMAF and data reduction with quantum pattern prioritization

Cognitive Distillation

Creating structure.maia + key.maia files (20MB)

ESRGANx4 Reconstruction

Generating 4K enhanced perspectives with inferred details

Diagnostic Output

VMAF ≥95 with 95% diagnostic agreement

Technical Architecture

QED's technical implementation includes several key components:

  • Perceptual Decomposition Engine: Extracts semantic (YOLOv8+CLIP), motion (sparse RAFT), and fractal-edge layers from OCT data
  • QAOA Optimization: Uses Quantum Approximate Optimization Algorithm to balance VMAF and data reduction, achieving 35% faster feature extraction through MI300X's 4.5TB/s HBM3 and quantum pattern prioritization
  • ESRGANx4 Reconstruction: Generative enhancement that can infer details beyond the original resolution, supporting 4K perspectives
  • Therapeutic Response Tracking: Specialized fingerprinting for monitoring treatment efficacy in DME and RVO patients with high precision (Dice score ≥0.90)

Benefits for Medical Imaging

The advantages of QED for medical imaging applications include:

  • Reduced Storage Costs: 80% reduction in data size (10GB to 2GB) significantly lowers cloud storage and bandwidth costs
  • Enhanced Telemedicine: Enables remote specialist consultation with minimal bandwidth requirements
  • Preserved Diagnostic Quality: VMAF scores ≥95 ensure clinical utility, with 95% diagnostic agreement for AMD, DME, RVO, CNV, and Drusen
  • Scalability: Works with various OCT video resolutions and frame rates, with hybrid classical fallback (MI300X clusters) ensuring accessibility during the NISQ era
  • Potential Biomarker Detection: Quantum-encoded features may improve detection of subtle retinal changes associated with Alzheimer's disease

Validation Strategy

QED is pursuing a rigorous validation pathway:

  • AbbVie Partnership: Primary collaboration for DME/RVO therapeutic response validation, leveraging their Ozurdex patient data and clinical expertise
  • Mayo Clinic collaboration for Alzheimer's biomarker validation
  • MSU collaboration for VMAF testing and diagnostic agreement
  • FDA 510(k) submission targeting ≥99.9% specificity
  • Balanced dataset training to mitigate bias
  • arXiv publication of QAOA optimization results

Current Development Status

While QED represents a pioneering approach to medical imaging, several aspects are still under development:

  • Clinical validation of 4K reconstruction capabilities
  • Quantification of Alzheimer's biomarker detection accuracy
  • Integration with diverse OCT hardware platforms
  • Optimization of QAOA parameters for specific clinical applications