Ablation results comparing CAMBlock and ConvNeXt.

Achieving a balance between spatial and channel feature representations is critical for improving performance in medical image segmentation. This paper proposes the spatial-channel feature enhancement and adaptive fusion (SCEAF) module. This module is composed of a multi-scale spatial attention gated block (MSAGBlock) and a channel attention modulation block (CAMBlock) operating in parallel. The MSAGBlock enhances spatial detail recovery, while the CAMBlock strengthens channel feature discrimination, and achieves dynamic fusion between the two blocks by means of gated weighting. Building upon the RWKV-UNet backbone network, we integrate the SCEAF module into the decoder to construct the novel SCEAF-UNet architecture. In addition, we introduce the lightweight edge attention fusion (EAF) module at the skip connection, which captures edge information and highlights structural contours, helping the network better delineate organ borders. Experiments conducted on the public Synapse and ACDC datasets indicate that SCEAF-UNet significantly surpasses current models of various architectures. Further ablation experiments verify the effectiveness and scalability of the designed modules, which are suitable for integration into diverse medical image segmentation architectures.