{
  "ptid_time": "129_S_6830_2020-10-28",
  "img_path": "/data/qiuhui/data/adni/images/129_S_6830/2020-10-28/t1.nii.gz",
  "img_finding": "",
  "text_data": "Age is 91.0 years. Gender is Male. Education: 16 years. MMSE: 28.0. MoCA: 17.0. Logical Memory: 5.0. APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The MMSE score of 28 is within the normal range (typically 24-30), but the MoCA score of 17 is below the cutoff for normal cognition (typically ≥26), suggesting possible cognitive impairment. The discrepancy between MMSE and MoCA, along with the advanced age, raises suspicion for mild cognitive impairment (MCI) or early dementia, despite the absence of APOE4 risk alleles.  \n\nDiagnosis: MCI  \nConfidence: Medium (due to conflicting MMSE/MoCA scores but strong MoCA indication of impairment)",
  "timestamp": "2025-07-26T14:21:26.159733"
}