EXHIBIT 32.2

                            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,
Annette Heroux, as Chief Financial 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/ Annette Heroux
                                      -----------------------
                                      Annette Heroux
                                      Chief Financial 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.