Abstract: A learning-based active surface model for medical image segmentation uses a method including: (a) data generation: obtaining medical images and associated ground truths, and splitting the sample images into a training set and a testing set; (b) raw segmentation: constructing a surface initialization network, parameters of the network trained by images and labels in the training set; (c) surface initialization: segmenting the images by the surface initialization network, and generating the point cloud data as the initial surface from the segmentation; (d) fine segmentation: constructing the surface evolution network, the parameters of the network trained by the initial surface obtained in step (c); (e) surface evolution: deforming the initial surface points along the offsets to obtain the predicted surface, the offsets presenting the prediction of the surface evolution network; (f) surface reconstruction: reconstructing the 3D volumes from the set of predicted surface points set to obtain the final segmentatio