| Abstract: |
The arrival of noisy intermediate-scale quantum (NISQ) devices defines an era in which quantum utility is fundamentally constrained by finite coherence times, limited qubit counts, gate infidelities, restricted connectivity, and measurement noise. Within this regime, hybrid quantum-classical frameworks have emerged as the dominant operational paradigm, particularly for quantum machine learning (QML). This review identifies a fundamental trade-off between expressivity, trainability, and noise resilience that governs the performance and scalability of NISQ-era QML systems. To contextualize these challenges, we introduce the resource-constrained iterative routing framework, a hardware-aware conceptual architecture that integrates topology-aware classical compression and distributed quantum orchestration to maintain circuit depths within device-dependent limits while routing representations toward symmetry-constrained Hilbert subspaces to mitigate noise-induced barren plateaus. Furthermore, we shift the discussion of quantum advantage away from asymptotic fault-tolerant complexity toward the notion of operational NISQ advantage based on finite-resource scaling, trainability preservation, and sampling complexity. We evaluate the practical resource efficiency of variational quantum algorithms, quantum kernel methods, and quantum neural networks across superconducting, trapped-ion, neutral-atom, and photonic platforms. The review also examines reproducibility challenges, emphasizing benchmarking against optimized classical baselines, and discusses strategies for managing the sampling overhead of error mitigation alongside distributed execution and quantum circuit compilation. Ultimately, NISQ in Practice positions hybrid QML as a physically constrained computational paradigm while outlining a pathway from contemporary noisy workflows toward early fault-tolerant quantum architectures. [ABSTRACT FROM AUTHOR] |