{
  "ptid_time": "072_S_1380_2011-05-26",
  "img_path": "/data/qiuhui/data/adni/images/072_S_1380/2011-05-26/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 88.7 years. Gender is Male. Education: 12 years. Handedness: Right. Race: White. Medical history: Neurologic; Head, Eyes, Ears, Nose and Throat; Cardiovascular; Musculoskeletal; Hematopoietic-Lymphatic; Renal-Genitourinary; Allergies or Drug Sensitivities; Malignancy; Major Surgical Procedures. MMSE: 28.0. MoCA: 21.0. Logical Memory: 14.0. APOEε4 alleles: 0.0. Biomarker levels: Florbetapir (AV45): 1.52 SUVR (profound elevated). ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The MMSE score of 28 is within the normal range, but the MoCA score of 21 suggests mild cognitive impairment (MCI). The profound elevation in AV45 (amyloid PET) indicates significant amyloid deposition, which is atypical for normal aging and more consistent with early Alzheimer's pathology.  \n\nDiagnosis: MCI  \nConfidence: Medium (due to the discrepancy between MMSE and MoCA, but strong amyloid burden supports MCI with likely underlying Alzheimer's pathology)",
  "timestamp": "2025-07-26T09:09:20.995703"
}