{
  "ptid_time": "018_S_0142_2014-02-28",
  "img_path": "/data/qiuhui/data/adni/images/018_S_0142/2014-02-28/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 87.2 years. Gender is Male. Education: 14 years. MMSE: 28.0. MoCA: 19.0. Logical Memory: 4.0. APOEε4 alleles: 1.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The MMSE score of 28 is within the normal range (typically ≥26), but the MoCA score of 19 suggests cognitive impairment (normal ≥26). This discrepancy, along with the presence of one APOE4 allele (a risk factor for Alzheimer's), indicates likely cognitive decline despite the high MMSE.  \nDiagnosis: MCI (Mild Cognitive Impairment)  \nConfidence: Medium (due to conflicting MMSE/MoCA scores but strong MoCA indication of impairment)",
  "timestamp": "2025-07-26T00:45:14.146695"
}