Abstract: In order to solve the problems of sensitive initial contours and inaccurate segmentation caused by active contour segmentation of CT images, this paper proposes an automatic 3D vertebral CT active contour segmentation method combined weighted random forest called "WRF-AC". This method proposes a weighted random forest algorithm and an active contour energy function that includes edge energy. First, the weighted random forest is trained by extracting 3D Haar-like feature values of the vertebra CT, and the 'vertebra center' obtained is used as the initial contour of the segmentation. Then, the segmentation of the vertebra CT image is completed by solving the active contour energy function minimum containing the edge energy. The experimental results show that this method can segment the spine CT images more accurately and quickly on the same datasets to extract the vertebrae.