Preoperative risk assessment of endometrial carcinoma (EC) is crucial to therapy planning. The present study explores the feasibility of the combination of APT and DCE in preoperative risk assessment of endometrial carcinoma. Compared with low-risk EC, the APT values and volume transfer constant (Ktrans) derived from DCE in high-risk EC increased significantly. Our results suggest that both APT and Ktrans can differentiate high-risk EC and low-risk EC. However, a combination of APT and DCE does not improve the AUC statistically significantly.