Malhotra A, et al. - The authors performed this study to assess the effectiveness of routine treatment (aneurysm coiling) vs 3 strategies for imaging surveillance compared with no preventive treatment or routine follow-up of tiny unruptured intracranial aneurysms (UIAs). They revealed that no treatment or imaging follow-up was the most effective strategy, resulting in better health outcomes and lower health care spending. More aggressive imaging surveillance for aneurysm growth or preventive treatment ought to be reserved for patients with a high risk of rupture. Given these findings, it was important to critically assess the appropriateness of current clinical practices, and potentially determined specific guidelines to reflect the most effective management strategy for patients with incidental, tiny UIAs.