A real-time acoustic simulation method based on artificial intelligence according to an embodiment of the present disclosure includes acquiring medical image data of a target area to be treated; determining ultrasound parameters related to the output of an ultrasonic transducer based on the medical image data; inputting the ultrasound parameters to a numerical model to generate a numerical model based acoustic simulation image for a specific position of the ultrasonic transducer; training an artificial intelligence model using the medical image data and the numerical model based acoustic simulation image; generating an artificial intelligence model based acoustic simulation image for an arbitrary position of the ultrasonic transducer using the trained artificial intelligence model; and outputting a real-time acoustic simulation image with a position change of the ultrasonic transducer.