{
  "ptid_time": "024_S_0985_2013-10-28",
  "img_path": "/data/qiuhui/data/adni/images/024_S_0985/2013-10-28/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 88.6 years. Gender is Male. Education: 14 years. MMSE: 21.0. MoCA: 20.0. Logical Memory: 1.0. APOEε4 alleles: 1.0. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The patient is an 88.6-year-old male with MMSE (21/30) and MoCA (20/30) scores below the typical cutoff for normal cognition (usually ≤24 for MMSE and ≤25 for MoCA in older adults), suggesting cognitive impairment. The presence of one APOE4 allele increases the risk for Alzheimer's pathology, and the cognitive scores align with mild dementia rather than MCI or normal aging.  \nDiagnosis: Dementia  \nConfidence: Medium (clinical scores strongly suggest dementia, but additional biomarker or imaging data would increase confidence).",
  "timestamp": "2025-07-26T03:12:43.787761"
}