Introduction Endometrial carcinoma (EC) remains a leading gynecologic cancer globally, with incidence and mortality trending upward in some regions. The 2023 FIGO update shifted the focus from purely anatomical staging to prognostic risk and tumor biology. In this context, functional MRI techniques—especially intravoxel incoherent motion (IVIM) diffusion imaging—are gaining attention as non-invasive biomarkers for preoperative…