{
  "ptid_time": "127_S_0925_2013-11-13",
  "img_path": "/data/qiuhui/data/adni/images/127_S_0925/2013-11-13/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 81.4 years. Gender is Male. Education: 12 years. MMSE: 27.0. MoCA: 21.0. Logical Memory: 6.0. APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The MMSE score of 27 is within the normal range (typically ≥26), but the MoCA score of 21 suggests mild cognitive impairment (MCI) as it falls below the typical cutoff of 26. The absence of APOE4 reduces genetic risk for Alzheimer's, but the MoCA score is concerning.  \nDiagnosis: MCI  \nConfidence: Medium (due to discrepancy between MMSE and MoCA, but MoCA is more sensitive for early cognitive decline)",
  "timestamp": "2025-07-26T13:05:03.107732"
}