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 March 31, 2005 (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:  May 9, 2005