Absolute quantitation of clinical 1H-MR spectra is virtually always incomplete for single subjects because the separate determination of spectrum, baseline, and transverse and longitudinal relaxation times in single subjects is prohibitively long. Integrated Processing and Acquisition of Data (IPAD) based on a combined 2-dimensional experimental and fitting strategy is suggested to substantially improve the information content from a given measurement time. A series of localized saturation-recovery spectra was recorded and combined with 2-dimensional prior-knowledge fitting to simultaneously determine metabolite T 1 (from analysis of the saturation-recovery time course), metabolite T 2 (from lineshape analysis based on metabolite and water peak shapes), macromolecular baseline (based on T 1 differences and analysis of the saturation-recovery time course), and metabolite concentrations (using prior knowledge fitting and conventional procedures of absolute standardization). The procedure was tested on metabolite solutions and applied in 25 subjects (15-78 years old). Metabolite content was comparable to previously found values. Interindividual variation was larger than intraindividual variation in repeated spectra for metabolite content as well as for some relaxation times. Relaxation times were different for various metabolite groups. Parts of the interindividual variation could be explained by significant age dependence of relaxation times. (1) is to sequentially acquire all information needed for absolute quantitative information from localized spectra: (1) the spectrum to be fitted and quantitated, (2) a series of measurements for the determination of longitudinal relaxation times (multiple repetition times, saturation recovery, or inversion recovery), (3) a further series of spectra for the evaluation of transverse relaxation times (obtained with differing echo times), (4) further measurements for the experimental determination of the macromolecular baseline (MM-BL) signals (metabolite nulling (2) or saturation recovery (3)), and (5) reference measurements for absolute quantitation. Because the experimental time needed to record all this information is generally too long for a clinical examination in a single subject, true absolute quantitation is hardly ever performed in research, let alone the clinic. Alternatively, the necessary measurements can be split into different sessions, but more often relaxation times are approximated from literature values or from measurements in a group of similar subjects. The latter clearly entails the risk of missing or misinterpreting metabolic changes. One route to approach full quantitation in one single examination is to try to obtain higher signal to noise by using optimized hardware (RF coil or higher B 0 field) and/or a very large region of interest, which alleviates the need for long data accumulation. However, often neither one of these options is available or sufficient. An alternative way of minimizing the necessary scan time, based on Integrated Processing and Ac...