{
  "ptid_time": "136_S_0196_2008-04-28",
  "img_path": "/data/qiuhui/data/adni/images/136_S_0196/2008-04-28/t1.nii.gz",
  "img_finding": "Image findings: ventricular volume measures 33,667 mm³, 8.9% below the reference mean. With a Z-score of -0.24 (40.5th percentile), this represents normal volume ; whole brain volume measures 899,654 mm³, 3.1% below the reference mean. With a Z-score of -0.37 (35.6th percentile), this represents normal volume . ",
  "text_data": "Age is 80.0 years. Gender is Female. Education: 18 years. MMSE: 29.0. Logical Memory: 18.0. Laboratory findings: Basophils: 0.09 (significant elevated); WBC: 9.23 (significant elevated); Lymphocytes: 2.88 (significant elevated); LDH: 227.00 (significant elevated); GGT: 55.00 (profound elevated); ALT (SGPT): 39.00 (significant elevated). APOEε4 alleles: 0.0. ",
  "true_diagnosis": "Diagnosis: CN.",
  "gpt_diagnosis": "Reasoning: The brain volumes and whole brain volumes are within normal ranges, with Z-scores close to the mean. The MMSE score of 29 is within the normal range (24-30), indicating no significant cognitive deficits. The absence of APOE4 alleles further reduces the risk of Alzheimer's.  \nDiagnosis: CN (Cognitively Normal)  \nConf",
  "timestamp": "2025-07-26T15:59:59.605265"
}