EXHIBIT 32.1

                            CERTIFICATION PURSUANT TO
                             18 U.S.C. SECTION 1350,
                             AS ADOPTED PURSUANT TO
                  SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002


In connection  with the Quarterly  Report of iCAD,  Inc. (the "Company") on Form
10-Q for the quarterly  period ended  September 30, 2004 (the  "Report"),  I, W.
Scott Parr, as Chief Executive Officer of the Company,  certify,  pursuant to 18
U.S.C.  Section 1350, as adopted  pursuant to Section 906 of the  Sarbanes-Oxley
Act of 2002, that:

      (1) The Report fully  complies with the  requirements  of Section 13(a) or
      15(d) of the Securities Exchange Act of 1934; and

      (2) The  information  contained  in the  Report  fairly  presents,  in all
      material  respects,  the financial  condition and results of operations of
      the Company.


                                     /s/ W. Scott Parr
                                     --------------------------------
                                     W. Scott Parr
                                     Chief Executive Officer


Date:  November 15, 2004

A signed  original of this  written  statement  required by Section 906 has been
provided to iCAD,  Inc. and will be retained by iCAD,  Inc. and furnished to the
Securities and Exchange Commission upon request.