An improved image selected in vivo spectroscopy (ISIS) sequence for localized 31 P magnetic resonance spectroscopy at 7 T was developed. To reduce errors in localization accuracy, adiabatic excitation, gradient offset independent adiabatic inversion pulses, and a special extended ISIS ordering scheme were used. The localization accuracy of extended ISIS was investigated in phantoms. The possible spectral quality and reproducibility in vivo was explored in a volunteer (brain, muscle, and liver). A comparison between 3 T and 7 T was performed in five volunteers. Adiabatic extended ISIS provided high spectral quality and accurate localization. The contamination in phantom experiments was only~5%, even if a pulse repetition time~1.2ÁT 1 was chosen to maximize the signal-to-noise ratio per unit time. High reproducibility was found in the calf muscle for 2.5 cm isotropic voxels at 7 T. When compared with 3 T, localized 31 P magnetic resonance spectroscopy in the human calf muscle at 7 T provided 3.2 times higher signal-to-noise ratio (as judged from phosphocreatine peak amplitude in frequency domain after matched filtering). At 7 T, extended ISIS allowed the performance of high-quality localized 31 P magnetic resonance spectroscopy in a short measurement time (~3 to 4 min) and isotropic voxel sizes of~2.5 to 3 cm. With such short measurement times, localized 31 P magnetic resonance spectroscopy has the potential to be applied not only for clinical research but also for routine clinical practice. Magn Reson Med 66:923-930,