SSTR2 immunoreactivity was evaluated by three different scoring systems and their correlation with the therapeutic efficacy of SSAs in Group 3 patients. (a–c) The area under the curve (AUC) was highest when evaluated using DIA (AUC, 0.65; cut-off, 898.945; sensitivity, 80%; specificity, 75%), compared with that when using Volante scores (AUC, 0.6125; cut-off, 2; sensitivity, 90%; specificity, 25%) and IRSs (AUC, 0.5875; cutoff, 4; sensitivity, 70%; specificity, 50%). (d–f) Higher proportions of SD or CR were detected in positive cases than in negative cases regardless of the scoring systems used. (f) SSTR2 immunoreactivity evaluated by DIA tended to be closely associated with the therapeutic efficacy of SSAs, but not when evaluated using the Volante scores and IRSs.