{
  "ptid_time": "023_S_0625_2010-10-07",
  "img_path": "/data/qiuhui/data/adni/images/023_S_0625/2010-10-07/t1.nii.gz",
  "img_finding": "Image findings: whole brain volume measures 1,100,870 mm³, 2.0% above the reference mean. With a Z-score of 0.26 (60.2th percentile), this represents normal volume . ",
  "text_data": "Age is 79.9 years. Gender is Male. Education: 6 years. Handedness: Right. Race: White. Medical history: Head, Eyes, Ears, Nose and Throat; Cardiovascular; Gastrointestinal; Major Surgical Procedures. MMSE: 14.0. MoCA: 9.0. Logical Memory: 0.0. APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The brain volume is within normal range, but the cognitive scores (MMSE 14, MoCA 9) are significantly below expected thresholds for normal cognition, suggesting substantial cognitive impairment. The absence of APOE4 does not rule out dementia, as cognitive scores are more indicative.  \nDiagnosis: Dementia  \nConfidence: High",
  "timestamp": "2025-07-26T02:46:46.116663"
}