An overview of Dr. James Odell's monograph on contact regulation thermography, with his clinical perspective on breast health. Use the button above to open the full original document in the reader.
A functional lens on physiology
Dr. James Odell — a physician of naturopathic and oriental medicine — frames contact regulation thermography (CRT) as a functional, thermodynamic test rather than a structural image. Where mammography, ultrasound and MRI show anatomy, CRT observes how the body regulates skin temperature in response to a controlled cooling stimulus, offering a window onto cellular and metabolic dynamics that most often precede overt disease.
As Odell puts it, this lets a clinician observe what the body is doing before it becomes dysfunctional enough to create an irreversible problem — the essence of a preventive, terrain-based approach to health.
Why it matters for breast health
Before cells become malignant, angiogenesis — the growth of new blood vessels — increases local circulation and warmth. Odell notes that CRT is sensitive to the physiological patterns this creates, and highlights several clinically useful properties:
- It can surface physiological change early — Odell reports precancerous changes may be detectable well before a lesion is visible on mammography.
- Small, active tumors "frequently exhibit greater heat increases than many of the larger ones," so early terrain changes are not necessarily subtle.
- It helps differentiate benign patterns such as fibrocystic change (a diffuse, uniform increase in vascularization) from focal areas of concern.
- It is radiation-free and non-invasive, so it is well suited to patients for whom repeated imaging is undesirable — including women on hormone therapy, nursing mothers, and those with dense, fibrocystic, augmented, or post-surgical breasts.
The reported evidence
Odell cites the functional-diagnostics literature to argue for CRT's role as a complement to structural imaging. Representative figures he references:
- Reported mammographic sensitivity is often below 65%, and is weakest in dense breast tissue.
- In one German series, diagnostic accuracy rose from 54% (clinical examination) to 76% (adding mammography) to 96% when CRT was included.
These figures come from the sources Dr. Odell cites — smaller studies and manufacturer literature — and are presented as reported, not as large-scale peer-reviewed validation.
Where CRT fits — used responsibly
Odell is explicit that CRT is an adjunct, not a replacement. He positions it within a multimodal work-up: clinical examination and CRT, followed as indicated by ultrasound or MRI. And he is unambiguous on the limit of any functional or imaging test:
“A biopsy with a pathology report is the only procedure able to diagnose breast cancer.”
Used this way — to enrich the picture and flag terrain worth investigating further — CRT adds a functional dimension that structural imaging alone cannot provide.
Source
Adapted from a monograph by Dr. James Odell, OMD, ND, L.Ac. Provided for information only; it is not specific medical advice. Open the full original document with the button above.