{
  "ptid_time": "128_S_0229_2008-04-03",
  "img_path": "/data/qiuhui/data/adni/images/128_S_0229/2008-04-03/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 12,766 mm³, 54.5% below the reference mean. With a Z-score of -1.25 (10.6th percentile), this represents mild atrophy; whole brain volume measures 939,176 mm³, 3.6% below the reference mean. With a Z-score of -0.46 (32.3th percentile), this represents normal volume . ",
  "text_data": "Age is 76.4 years. Gender is Female. Education: 16 years. MMSE: 28.0. Logical Memory: 19.0. Laboratory findings: Eosinophils: 0.43 (profound elevated); WBC: 9.06 (significant elevated); Total Bilirubin: 1.00 (profound elevated); Albumin: 4.80 (significant elevated); Calcium (EDTA): 11.30 (profound elevated); Triglycerides (GPO): 515.00 (profound elevated); AST (SGOT): 34.00 (significant elevated); Phosphorus: 4.80 (significant elevated). APOEε4 alleles: 1.0. ",
  "true_diagnosis": "Diagnosis: CN.",
  "gpt_diagnosis": "Reasoning: The ventricular volume shows mild atrophy (Z-score -1.25), but whole brain volume is within normal range (Z-score -0.46). The MMSE score of 28 is normal, and there is no significant cognitive impairment reported.  \nDiagnosis: CN (Cognitively Normal)  \nConfidence: Medium (mild ventricular atrophy may warrant monitoring, but no clear signs of MCI or dementia based on current data)",
  "timestamp": "2025-07-26T13:40:26.049871"
}