{
  "ptid_time": "116_S_1232_2016-03-30",
  "img_path": "/data/qiuhui/data/adni/images/116_S_1232/2016-03-30/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 81.1 years. Gender is Female. Education: 14 years. MMSE: 27.0. MoCA: 20.0. Logical Memory: 15.0. APOEε4 alleles: 0.0. Biomarker levels: Florbetapir (AV45): 1.54 SUVR (profound elevated). ",
  "true_diagnosis": "Diagnosis: CN.",
  "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 profound elevation in AV45 (amyloid PET) indicates significant amyloid deposition, which is a hallmark of Alzheimer's pathology. The discrepancy between MMSE and MoCA may reflect the MoCA's greater sensitivity to early cognitive changes.  \n\nDiagnosis: MCI (likely due to Alzheimer's pathology)  \nConfidence: Medium (due to the conflicting MMSE and MoCA scores, but strong amyloid evidence supports MCI with Alzheimer's etiology)",
  "timestamp": "2025-07-26T12:01:13.604448"
}