Four different recombinant antigens derived from Echinococcus granulosus, designated B1t, B2t, E14t, and C317, were tested with enzyme-linked immunosorbent assays (ELISAs) for the detection of specific immunoglobulin G (IgG) in patients with unilocular hydatid disease (UHD). The results were compared to those obtained with hydatid fluid and were subjected to receiver operator characteristic analysis. The diagnostic performance of the above-listed proteins was defined with respect to their specificity, sensitivity, and predictive values (PV); the influence of cyst location; and usefulness in the follow-up of surgical treatment for UHD and in the determination of whether or not patients have been surgically cured of UHD. The best diagnostic results were obtained with the anti-B2t IgG ELISA, with 91.2% sensitivity, 93% specificity, and high positive and negative PV (89.4 and 94.2, respectively). In addition, this diagnostic tool proved to be useful for the follow-up of surgically treated UHD patients. The anti-B2t IgG ELISA may find an application in the serodiagnosis of UHD in clinical laboratories.Human unilocular hydatid disease (UHD) is caused by the larvae of the tapeworm Echinococcus granulosus. The diagnosis of UHD usually is approached by applying an imaging technique. In 2003, the World Health Organization Informal Working Group on Echinococcosis (28) proposed the use of ultrasonography (US) as the imaging technique of choice in order to promote uniform standards of UHD diagnosis and follow-up. It also was pointed out that US images suspected of showing UHD should be examined by alternative diagnostic methods, such as serological techniques (28). In addition, for pulmonary UHD, US is unhelpful in most cases, unless the cysts are close to the pleural surface (12). Currently, the preferred UHD immunodiagnostic techniques used in clinical practice detect serum immunoglobulin G (IgG) against crude parasite extracts (mainly hydatid fluid [HF]), most commonly by hemagglutination and enzyme-linked immunosorbent assay (ELISA) (26). However, HF cannot be standardized and gives rise to relatively frequent false-positive and false-negative results (3, 15). Moreover, HF is not useful for the follow-up of UHD, since the levels of specific (IgG) antibodies against HF remain high over long periods of time after curing (19). Many authors have attempted to find alternative antigens to improve UHD serodiagnosis and follow-up. Thus, purified, recombinant antigens and synthetic peptides, mainly derived from two parasite molecules (antigen B [AgB] and antigen 5 [Ag5]), have been applied, with various levels of success. Specifically, antigens derived from AgB have been shown to be good candidates for UHD serodiagnosis (3). AgB is formed by several subunits (6), two of which (AgB1 and AgB2) have been produced as recombinant molecules. Both AgB1 and AgB2 have been tested for the detection of specific antibodies, although authors disagree about the diagnostic performance of these two subunits (11,20,27). Thus, the standardization ...