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White mater hyperintensities and microplastics

Proceedings on CD-ROM - International Society for Magnetic Resonance in Medicine. Scientific Meeting and Exhibition/Proceedings of the International Society for Magnetic Resonance in Medicine, Scientific Meeting and Exhibition 2025
Elaine L. Bearer, Natalie L. Adolphi, Marcus Garcia, Marcus Garcia, Matthew J. Campen

Summary

Using post-mortem MRI aligned with antemortem scans and pyrolysis GC/MS, researchers found large amounts of plastics in brain regions corresponding to white matter hyperintensities (WMH) and identified the cellular location of plastic particles using novel optical imaging. The findings suggest a potential link between microplastic accumulation in the brain and MRI-detectable white matter abnormalities.

Motivation: White matter hyperintensities are abnormalities that appear in MRI scans of living patients but are not apparent in MRI post-mortem. Goal(s): Our goal is to understand the cellular/biological basis of white matter hyperintensities. Approach: We aligned post-mortem MR scans with those collected antemortem preformed histopathology and pyrGC/MS on regions with WMH. Results: PyrGC/MS detected large amounts of plastics and detected their cellular location with a novel optical imaging approach in location with small vessel disease and Abeta plaques. Impact: Microplastics in the brain of people with cognitive impairment may be due to pre-existing vascular injury or contribute to it. Many questions remain: Where do they come from, does they impair functional? Can they be diagnosed by MRI ante-mortem?

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