https://github.com/chouheiwa/USEANet.
Ultrasound image segmentation faces unique challenges including speckle noise, low contrast, and ambiguous boundaries, while clinical deployment demands computationally efficient models. We propose USEANet, an ultrasound-specific edge-aware multi-branch network that achieves optimal performance-efficiency balance through four key innovations: (1) ultrasound-specific multi-branch processing with specialized modules for noise reduction, edge enhancement, and contrast improvement; (2) edge-aware attention mechanisms that focus on boundary information with minimal computational overhead; (3) hierarchical feature aggregation with adaptive weight learning; and (4) ultrasound-aware decoder enhancement for optimal segmentation refinement. Built on an ultra-lightweight PVT-B0 backbone, USEANet significantly outperforms existing methods across five ultrasound datasets while using only 3.64M parameters and 0.79G FLOPs. Experimental results demonstrate superior segmentation accuracy with 67.01 IoU on BUSI dataset, representing substantial improvements over traditional approaches while maintaining exceptional computational efficiency suitable for real-time clinical applications. Code is available at