Elastic wave CT technology, also known as elastic wave tomography technology. It is on the premise of not destroying the internal structure of the rock and soil medium in the test area, according to the basic principle that elastic waves propagate at different speeds in different rock and soil media, the travel time and wave velocity of the elastic wave in the rock and soil between two points are obtained through the experiment, and through a special inversion method, a large amount of elastic wave velocity information is used to obtain the distribution law and the elastic wave velocity chromatogram of the medium in the test area, in this way, the lithology, structural development and velocity parameters of the rock-soil medium in the test area can be inferred. This article briefly introduces the basic theory of elastic wave CT, including Radon transform and inverse transform, forward ray tracing method and inversion iterative image reconstruction technology. Then combined with the engineering survey example of the Suning Plaza project, it briefly introduced the field work method, data parameter collection, geological interpretation and result analysis. The analysis shows that the results of the three-dimensional velocity map obtained by the elastic wave CT method are intuitive, the test accuracy is high, and the development state, size and location of the karst in the survey area can be clearly seen. It can describe the spatial distribution characteristics of karst in detail, has outstanding advantages in karst exploration, and has good application prospects.