Pelvic IVIM MR imaging were performed on 30 women with advanced cervical cancers at three time points. The performance of tumour size and IVIM-derived parameters in predicting long-term prognosis was evaluated. After a median follow-up of 24 months, 83.33% patients were alive, 70.00% remained free of disease. A shrinkage rate of maximum diameter≥ 58.31% was useful in predicting a good long-term prognosis. The IVIM-derived ADCIVIM value at time point 2 and the ADCIVIM and f values at time point 3 also performed well in predicting a good prognosis. IVIM has great potential in predicting long-term prognosis in patients with advanced cervical.