EXHIBIT 32.1

                                   iCAD, Inc.

                            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 Annual Report of iCAD,  Inc.'s (the  "Company") on Form
10-K for the fiscal  year ended  December  31, 2004 (the  "Report"),  I W. Scott
Parr, the 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:  March 15, 2005