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Luminescence thermal sensing and deep-tissue imaging using nanomaterials operating within the first biological window (ca. 700-980 nm) are of great interest, prompted by the ever-growing demands in the fields of nanotechnology and nanomedicine. Here, we show that (Gd1-xNdx)2O3 (x = 0.009, 0.024 and 0.049) nanorods exhibit one of the highest thermal sensitivity and temperature uncertainty reported so far (1.75 ± 0.04% K(-1) and 0.14 ± 0.05 K, respectively) for a nanothermometer operating in the first transparent near infrared window at temperatures in the physiological range. This sensitivity value is achieved using a common R928 photomultiplier tube that allows defining the thermometric parameter as the integrated intensity ratio between the (4)F5/2 → (4)I9/2 and (4)F3/2 → (4)I9/2 transitions (with an energy difference between the barycentres of the two transitions >1000 cm(-1)). Moreover, the measured sensitivity is one order of magnitude higher than the values reported so far for Nd(3+)-based nanothermometers enlarging, therefore, the potential of using Nd(3+) ions in luminescence thermal sensing and deep-tissue imaging.