November 29, 2018

Richard Christopher
Chief Financial Officer
iCAD, Inc.
98 Spit Brook Road, Suite 100
Nashua, NH 03062

       Re: iCAD, Inc.
           Registration Statement on Form S-3
           Filed November 21, 2018
           File No. 333-228514

Dear Mr. Christopher:

       This is to advise you that we have not reviewed and will not review your
registration
statement.

        Please refer to Rules 460 and 461 regarding requests for acceleration.
We remind you
that the company and its management are responsible for the accuracy and
adequacy of their
disclosures, notwithstanding any review, comments, action or absence of action
by the staff.

       Please contact Eric Atallah at (202)551-3663 with any questions.



                                                            Sincerely,

                                                            Division of
Corporation Finance
                                                            Office of
Electronics and Machinery
cc:    Robert J. Mittman, Esq.