{
  "ptid_time": "014_S_2185_2012-01-13",
  "img_path": "/data/qiuhui/data/adni/images/014_S_2185/2012-01-13/t1.nii.gz",
  "img_finding": "Image findings: hippocampal volume measures 7,689 mm³, 1.7% above the reference mean. With a Z-score of 0.17 (56.7th percentile), this represents normal volume ; whole brain volume measures 1,213,920 mm³, 12.5% above the reference mean. With a Z-score of 1.62 (94.7th percentile), this represents moderate enlargement; entorhinal cortex volume measures 4,577 mm³, 11.6% above the reference mean. With a Z-score of 0.79 (78.5th percentile), this represents normal volume ; fusiform gyrus volume measures 19,649 mm³, 4.3% above the reference mean. With a Z-score of 0.37 (64.3th percentile), this represents normal volume ; middle temporal gyrus volume measures 23,342 mm³, 9.4% above the reference mean. With a Z-score of 0.84 (80.1th percentile), this represents normal volume . ",
  "text_data": "Age is 74.0 years. Gender is Male. Education: 17 years. Handedness: Right. Race: White. Medical history: Psychiatric; Neurologic; Head, Eyes, Ears, Nose and Throat; Cardiovascular; Dermatologic-Connective Tissue; Musculoskeletal; Renal-Genitourinary; Allergies or Drug Sensitivities; Malignancy; Major Surgical Procedures. MMSE: 30.0. MoCA: 25.0. Logical Memory: 12.0. APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The hippocampal, entorhinal cortex, fusiform gyrus, and middle temporal gyrus volumes are all within normal ranges or above the reference mean, with no significant atrophy. The MMSE score of 30 is normal, and the MoCA score of 25 is borderline but not strongly indicative of cognitive impairment. No APOE4 alleles further reduce Alzheimer's risk.  \nDiagnosis: CN (Cognitively Normal)  \nConfidence: High",
  "timestamp": "2025-07-25T23:48:08.373975"
}