The temperature mapping balloon of the present invention provides a device for locating inflammation and increased metabolic activity associated with conditions such as vulnerable plaque, by mapping temperature of a body lumen, such as an artery or blood vessel. The temperature mapping balloon comprises a balloon with a thermal mapping coating disposed on the inside or outside of the balloon. The thermal mapping coating can be a thermochromic coating that changes color in response to temperature or a sensor coating comprising a plurality of temperature sensors.