Quantum-enhanced digital twin IoT for efficient healthcare task offloading

Abstract Task offloading frameworks play a crucial role in modern healthcare by optimizing resource utilization, reducing computational burdens, and enabling real-time medical decision-making. However, existing Digital Twin (DT)-based healthcare models suffer from high latency, inefficient resource allocation, cybersecurity vulnerabilities, and computational limitations when processing large-scale patient data. These constraints pose significant risks in time-sensitive applications such as ICU monitoring, robotic-assisted surgeries, and telemedicine. To address these limitations, this paper introduces a Quantum-Enhanced DT-IoT framework, integrating Artificial Intelligence (AI), Quantum Computing (QC), DT, and the Internet of Things (IoT) for real-time, secure, and efficient healthcare task offloading. The proposed system introduces two key optimization algorithms: (1) DTH-ATB-MAPPO, which dynamically adjusts task scheduling and resource distribution, and (2) AQDT-IoT, which enhances computational efficiency and cybersecurity compliance in 6 G-enabled IoT networks. By leveraging Approximate Amplitude Encoding (AAE) and Grover’s search, the framework enhances task offloading efficiency, enabling faster decision-making and optimized resource distribution across 6 G-enabled IoT networks. Empirical evaluations show that quantum preprocessing improved Task Offloading Success Rate (TOSR) by 32% and reduced the Error Rate (ER) by 80%, significantly outperforming traditional DT-based healthcare models. These enhancements enable. Additionally, theoretical analysis demonstrates computational speed enhancements, adaptive cybersecurity mechanisms, and improved system scalability, positioning this framework as a viable candidate for future cloud-based quantum healthcare infrastructures, even in resource-constrained hospital environments.