ABSTRACT:The purpose of this study was to develop a special proton magnetic resonance spectroscopy (1H-MRS) phantom, to establish and verify a quality assurance (QA) protocol, and to perform QA for a MR system. For a complete QA protocol, seven principal quality factors (PQFs) were measured. For evaluation of localization and quantification accuracy, two PQFs which are difficult to measure in commercial phantoms, we developed the layered dumbbell-shaped phantom. The performance sensitivity of our phantom was determined as a function of the voxel size on three occasions over $1 year. All MRS QA factors were optimized on two different MRI/MRS systems. The correlation between the metabolite signal intensity and the metabolite concentration was verified. The seven principal MRS QA factors studied can be used to evaluate MR spectra as well as to measure the stability of MR systems.