Deep learning has substantially advanced the automated classification and segmentation of breast ultrasound images. However, many existing methods do not fully exploit task correlations, which weakens information exchange and limits the delineation of fine structures. In addition, commonly used loss functions often fail to balance classification and segmentation objectives effectively. To address these issues, we propose N-Unet, a multi-task learning framework that combines adaptive optimization with feature-enhancement modules. Specifically, the Adaptive Multi-Task Loss (AMTL) dynamically balances the two task objectives to promote stable joint learning. The Adaptive Feature Fusion (AFF) and Cross-Level Attention Enhancement (CLAE) modules improve feature representation through multi-scale integration and semantic refinement. The Conditional Segmentation Boosting (CSB) module further refines segmentation outputs according to the classification result, improving inference-stage consistency. Together, these components form a unified multi-task framework with a shared encoder, a segmentation branch, and an integrated classification branch whose output further supports segmentation-consistency refinement. Experiments on the BUSI and BUS-UCLM datasets demonstrate the superiority of N-Unet. The model achieves classification accuracies of 96.54% on BUSI and 95.83% on BUS-UCLM, with corresponding Dice scores of 80.70% and 92.16%. It reaches this performance with only 8.95 M parameters and 14.74 GFLOPs, showing a favorable performance-efficiency trade-off. These results confirm the effectiveness of N-Unet and its robustness across the two BUS datasets studied here, supporting its potential for practical breast nodule assessment, while broader external generalization remains to be validated.
Yang et al. (Thu,) studied this question.
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