{
  "ptid_time": "1610_bl",
  "img_path": "/data/qiuhui/data/AIBL/images_skull_stripping_and_align/1610_bl.nii.gz",
  "img_finding": "Image findings: No volumetric data available.",
  "text_data": "Age is 81.0 years. Gender is Female. Medical history: Neurologic. MMSE: 20. Delayed Recall: 0. Immediate Recall: 1. Laboratory findings: Vitamin B12: 1002.97 (profound elevated); MCH: 28.50 (significant reduced); MCHC: 33.10 (moderate reduced); Platelets: 428.00 (profound elevated); WBC: 4.40 (mild reduced); Serum Glucose: 120.71 (profound elevated); Cholesterol (High Performance): 123.73 (significant reduced). APOEε4 alleles: 1. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The patient is an 81-year-old female with an MMSE score of 20, which falls below the typical cutoff for normal cognition (usually 24-30). The presence of one APOE4 allele increases the risk for Alzheimer's disease, though it is not diagnostic. The cognitive impairment (MMSE 20) in this age group is concerning for dementia, likely Alzheimer's type.  \nDiagnosis: Dementia  \nConfidence: Medium (due to lack of volumetric data or detailed neuropsychological testing)",
  "timestamp": "2025-07-26T18:22:43.645703"
}