{
  "ptid_time": "131_S_0384_2006-03-27",
  "img_path": "/data/qiuhui/data/adni/images/131_S_0384/2006-03-27/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 32,311 mm³, 16.1% below the reference mean. With a Z-score of -0.39 (35.0th percentile), this represents normal volume ; hippocampal volume measures 6,717 mm³, 11.1% below the reference mean. With a Z-score of -1.09 (13.9th percentile), this represents mild atrophy; whole brain volume measures 1,013,150 mm³, 6.1% below the reference mean. With a Z-score of -0.80 (21.3th percentile), this represents normal volume ; entorhinal cortex volume measures 4,106 mm³, 0.1% above the reference mean. With a Z-score of 0.01 (50.4th percentile), this represents normal volume ; fusiform gyrus volume measures 15,038 mm³, 20.2% below the reference mean. With a Z-score of -1.72 (4.3th percentile), this represents moderate atrophy; middle temporal gyrus volume measures 18,590 mm³, 12.9% below the reference mean. With a Z-score of -1.16 (12.3th percentile), this represents mild atrophy. ",
  "text_data": "Age is 79.8 years. Gender is Male. Education: 14 years. Handedness: Right. Race: White. Medical history: Head, Eyes, Ears, Nose and Throat; Cardiovascular; Musculoskeletal; Endocrine-Metabolic; Gastrointestinal; Major Surgical Procedures. MMSE: 29.0. Logical Memory: 6.0. APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The patient shows mild atrophy in the hippocampus and middle temporal gyrus, as well as moderate atrophy in the fusiform gyrus, which are regions commonly affected in Alzheimer's disease. However, the MMSE score of 29 is within the normal range, and there is no APOE4 allele present, which reduces the likelihood of Alzheimer's.  \nDiagnosis: MCI  \nConfidence: Medium",
  "timestamp": "2025-07-26T15:00:35.542300"
}