{
  "ptid_time": "023_S_0855_2008-03-21",
  "img_path": "/data/qiuhui/data/adni/images/023_S_0855/2008-03-21/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 56,960 mm³, 47.9% above the reference mean. With a Z-score of 1.15 (87.4th percentile), this represents mild enlargement; whole brain volume measures 1,024,460 mm³, 5.1% below the reference mean. With a Z-score of -0.66 (25.4th percentile), this represents normal volume . ",
  "text_data": "Age is 77.1 years. Gender is Male. Education: 12 years. MMSE: 25.0. Laboratory findings: Vitamin B12: 1136.00 (profound elevated); Eosinophils: 0.36 (significant elevated); Eosinophils: 6.30 (significant elevated); Serum Glucose: 159.00 (profound elevated). APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The ventricular volume is mildly enlarged (47.9% above reference mean), while whole brain volume is within normal limits (5.1% below reference mean). The MMSE score of 25 is borderline, but without significant cognitive complaints or functional decline, this may not yet meet dementia criteria.  \nDiagnosis: **MCI** (Mild Cognitive Impairment)  \nConfidence: **Medium** (due to borderline MMSE and mild structural changes, but lack of detailed cognitive or functional assessment)",
  "timestamp": "2025-07-26T02:47:30.470214"
}