{
  "ptid_time": "137_S_0994_2011-12-06",
  "img_path": "/data/qiuhui/data/adni/images/137_S_0994/2011-12-06/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 60.1 years. Gender is Female. Education: 18 years. Handedness: Right. Race: White. Medical history: Psychiatric; Neurologic; Head, Eyes, Ears, Nose and Throat; Musculoskeletal; Allergies or Drug Sensitivities; Major Surgical Procedures. MMSE: 23.0. MoCA: 19.0. Logical Memory: 0.0. APOEε4 alleles: 1.0. ",
  "true_diagnosis": "Diagnosis: AD.",
  "gpt_diagnosis": "Reasoning: The patient shows cognitive impairment based on MMSE (23/30) and MoCA (19/30) scores, which are below normal thresholds (typically <26 for MMSE and <26 for MoCA). The presence of one APOE4 allele increases the risk for Alzheimer's pathology, but the cognitive scores alone suggest mild cognitive impairment (MCI) rather than dementia.  \n\nDiagnosis: **MCI**  \nConfidence: **Medium** (Clinical scores indicate impairment, but additional biomarker or longitudinal data would strengthen confidence in progression to dementia.)",
  "timestamp": "2025-07-26T16:23:23.088877"
}