Segmenting small, low-contrast anatomical structures and classifying their pathological status in ultrasound (US) images remain challenging tasks in computer vision, especially under the noise and ambiguity inherent in real-world clinical data. Papillary thyroid microcarcinoma (PTMC), characterized by nodules cm, exemplifies these challenges where both precise segmentation and accurate lymph node metastasis (LNM) prediction are essential for informed clinical decisions. We propose SynTaskNet, a synergistic multi-task learning (MTL) architecture that jointly performs PTMC nodule segmentation and LNM classification from US images. Built upon a DenseNet201 backbone, SynTaskNet incorporates several specialized modules: a Coordinated Depth-wise Convolution (CDC) layer for enhancing spatial features, an Adaptive Context Block (ACB) for embedding contextual dependencies, and a Multi-scale Contextual Boundary Attention (MCBA) module to improve boundary localization in low-contrast regions. To strengthen task interaction, we introduce a Selective Enhancement Fusion (SEF) mechanism that hierarchically integrates features across three semantic levels, enabling effective information exchange between segmentation and classification branches. On top of this, we formulate a synergistic learning scheme wherein an Auxiliary Segmentation Map (ASM) generated by the segmentation decoder is injected into SEF’s third class-specific fusion path to guide LNM classification. In parallel, the predicted LNM label is concatenated with the third-path SEF output to refine the Final Segmentation Map (FSM), enabling bidirectional task reinforcement. Extensive evaluations on a dedicated PTMC US dataset demonstrate that SynTaskNet achieves state-of-the-art performance, with a Dice score of 93.0% for segmentation and a classification accuracy of 94.2% for LNM prediction, validating its clinical relevance and technical efficacy.
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