{
  "ptid_time": "683_m18",
  "img_path": "/data/qiuhui/data/AIBL/images_skull_stripping_and_align/683_m18.nii.gz",
  "img_finding": "Image findings: No volumetric data available.",
  "text_data": "Age is 83.0 years. Gender is Female. Medical history: Smoking; Malignancy. MMSE: 18. Delayed Recall: 1. Immediate Recall: 2. Laboratory findings: MCH: 33.30 (mild elevated); Hemoglobin: 15.20 (mild elevated). APOEε4 alleles: 1. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The patient is an 83-year-old female with an MMSE score of 18, which falls below the typical cutoff for cognitive impairment (usually <24). The presence of one APOE4 allele increases the risk for Alzheimer's disease, though it is not diagnostic. The lack of volumetric data limits structural assessment, but the clinical presentation strongly suggests cognitive decline.  \nDiagnosis: Dementia  \nConfidence: Medium (due to lack of imaging data but strong clinical indicators)",
  "timestamp": "2025-07-26T19:14:08.932192"
}