{
  "ptid_time": "035_S_4114_2017-09-22",
  "img_path": "/data/qiuhui/data/adni/images/035_S_4114/2017-09-22/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 61.0 years. Gender is Female. Education: 14 years. MMSE: 27.0. MoCA: 20.0. Logical Memory: 6.0. APOEε4 alleles: 1.0. Biomarker levels: Florbetapir (AV45): 1.44 SUVR (significant elevated). ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The MMSE score of 27 is within the normal range, but the MoCA score of 20 suggests mild cognitive impairment (MCI). The presence of APOE4 (a genetic risk factor for Alzheimer's) and elevated AV45 (indicating amyloid deposition) further support a neurodegenerative process.  \nDiagnosis: MCI  \nConfidence: Medium  \n\n(Note: The discrepancy between MMSE and MoCA could reflect MoCA's greater sensitivity to early cognitive changes, while AV45 and APOE4 suggest underlying Alzheimer's pathology. However, functional independence is typically preserved in MCI, and the MMSE score is borderline normal, warranting medium confidence.)",
  "timestamp": "2025-07-26T05:55:27.210774"
}