In the context of medical imaging, lymph node segmentation in uterine MRI scans presents challenges due to unclear boundaries and diverse structures.A novel study introduces a deep learning approach combining bimodal MRI and an attention-enhanced U-Net for precise lymph node detection.Lymph nodes play a crucial role in gynecological disease diagnosis, and accurate identification is vital for treatment planning.The study integrates T2-weighted and diffusion-weighted imaging to enhance automation by providing valuable anatomical information.The developed ERU-Net model incorporates efficient channel attention and residual connections for improved lymph node segmentation.Data augmentation techniques were used to address dataset limitations, aiding in training and ensuring generalizability.Evaluation metrics demonstrated the ERU-Net's high performance with an mIoU of 0.83 and pixel accuracy of 91%.Comparative analysis showed the superiority of ERU-Net over conventional U-Net models in uterine lymph node delineation tasks.The methodology not only enhances algorithmic accuracy but also streamlines radiological workflows and improves diagnostic efficiency.The study's success signifies a significant advancement in MRI-based lymph node segmentation, paving the way for future AI-driven diagnostic tools.