{
  "ptid_time": "094_S_1314_2008-03-10",
  "img_path": "/data/qiuhui/data/adni/images/094_S_1314/2008-03-10/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 14,237 mm³, 61.5% below the reference mean. With a Z-score of -1.66 (4.8th percentile), this represents moderate atrophy; whole brain volume measures 966,024 mm³, 4.1% above the reference mean. With a Z-score of 0.49 (68.8th percentile), this represents normal volume . ",
  "text_data": "Age is 81.7 years. Gender is Female. Education: 16 years. MMSE: 28.0. Logical Memory: 11.0. Laboratory findings: Basophils: 0.09 (significant elevated); Lymphocytes: 2.84 (significant elevated); Calcium (EDTA): 11.10 (profound elevated); Phosphorus: 5.20 (profound elevated). APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: MCI.",
  "gpt_diagnosis": "Reasoning: The ventricular volume shows moderate atrophy (Z-score -1.66), but whole brain volume is normal (Z-score 0.49). MMSE score of 28 is within the normal range, and the absence of APOE4 reduces genetic risk.  \nDiagnosis: CN (Cognitively Normal)  \nConfidence: Medium (due to mixed findings—ventricular atrophy but preserved cognition and brain volume)",
  "timestamp": "2025-07-26T10:22:07.127137"
}