{
  "ptid_time": "011_S_1080_2008-06-13",
  "img_path": "/data/qiuhui/data/adni/images/011_S_1080/2008-06-13/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 32,025 mm³, 31.9% below the reference mean. With a Z-score of -0.93 (17.7th percentile), this represents normal volume ; whole brain volume measures 921,466 mm³, 10.5% below the reference mean. With a Z-score of -1.37 (8.5th percentile), this represents mild atrophy. ",
  "text_data": "Age is 82.9 years. Gender is Male. Education: 19 years. MMSE: 24.0. Laboratory findings: Creatine Kinase: 212.00 (significant elevated); GGT: 43.00 (significant elevated). APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The patient shows mild whole brain atrophy (Z-score -1.37, 8.5th percentile) but normal ventricular volume. The MMSE score of 24 is borderline, but the absence of APOE4 reduces genetic risk.  \nDiagnosis: MCI (Mild Cognitive Impairment)  \nConfidence: Medium",
  "timestamp": "2025-07-25T22:50:28.502749"
}