Spectral filtering has been proposed as a route to regularization in quantum generative models: the quantum Fourier transform exposes the amplitude spectrum of a quantum circuit Born machine, and a diagonal filter suppresses the high frequencies associated with finite-sample noise, an operation whose classical counterpart seemingly requires manipulating an exponentially long amplitude vector. We examine whether this coherent operation produces anything that classical post-processing of samples from the unfiltered model cannot match. Measuring the filter against convolution with a symmetric probability kernel at matched sampling cost, which accounts for the post-selection overhead of attenuation, we derive necessary and sufficient conditions for the gap between the two to vanish. Magnitude (attenuating) filters obey a dichotomy: at a fixed affordability threshold, the filtered output is either a constant-size Fourier object with an efficient classical sampler, or the passband must widen until no fixed frequency is attenuated and the filter no longer smooths. In neither case does the filter create a quantum-classical separation. Whatever separation survives is inherited from the spectral phase of the input state. Numerical experiments on trained circuit Born machines confirm the classification and show that the deciding phases are invisible to the Born-rule training loss and set by the initialization. Within the diagonal family, pure phase filters remain the only spectral operations exempt from these constraints.
Medical image classification is often constrained by limited labeled data, motivating generative augmentation; recently, quantum generative models have been proposed for this purpose, frequently reporting accuracy gains. However, such claims are typically based on single training runs, do not match the parameter budgets of the quantum and classical generators, and do not characterize the data regime in which any benefit appears. We present a controlled benchmark that isolates the contribution of a quantum generator to brain-MRI augmentation. Images are encoded into a KL-regularized latent space in which a conditional Wasserstein GAN with gradient penalty is trained using either a variational quantum generator or a classical generator of near-identical parameter count (1648 vs. 1632). Synthetic samples are decoded and used to augment a pretrained classifier across labeled data fractions from 5% to 100%, evaluated over eight random seeds with paired significance testing (with multiple-comparison correction) and with intraset diversity and latent-distribution analyses. Across all fractions, no augmentation variant significantly outperforms real-data-only training, and the quantum and classical generators are statistically indistinguishable. Any low-data benefit behaves as regularization rather than faithful data expansion:synthetic samples are off distribution and severely mode collapsed precisely where data is scarce, and the quantum generator is no more diverse thanits classical counterpart. We release the protocol as a testbed for rigorous evaluation of quantum generative augmentation in medical imaging.