{
  "ptid_time": "029_S_1218_2011-02-24",
  "img_path": "/data/qiuhui/data/adni/images/029_S_1218/2011-02-24/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 89.4 years. Gender is Female. Education: 16 years. Handedness: Right. Race: White. Medical history: Neurologic; Head, Eyes, Ears, Nose and Throat; Dermatologic-Connective Tissue; Musculoskeletal; Gastrointestinal; Smoking; Major Surgical Procedures. MMSE: 27.0. MoCA: 27.0. Logical Memory: 11.0. APOEε4 alleles: 0.0. Biomarker levels: Florbetapir (AV45): 1.44 SUVR (significant elevated). ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The patient has normal cognitive scores (MMSE and MoCA both 27/30) and no APOE4 alleles, but shows significant amyloid burden (AV45 elevated). At age 89.4, elevated amyloid is common even in cognitively normal individuals.  \nDiagnosis: CN (Cognitively Normal)  \nConfidence: Medium (amyloid elevation is concerning, but cognitive scores are intact)",
  "timestamp": "2025-07-26T04:23:30.331652"
}