content: <?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
    <headerData>
      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001508911</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
      </filerInfo>
    </headerData>
    <formData>
      <issuerInfo>
        <issuerCik>0000749660</issuerCik>
        <issuerName>ICAD INC</issuerName>
        <secFileNumber>001-09341</secFileNumber>
        <issuerAddress>
          <com:street1>98 SPIT BROOK ROAD, SUITE 100</com:street1>
          <com:city>NASHUA</com:city>
          <com:stateOrCountry>NH</com:stateOrCountry>
          <com:zipCode>03062</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>603-882-5200</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Klein Michael S</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Former Director</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Fidelity Brokerage Services LLC</name>
          <address>
            <com:street1>245 Summer Street</com:street1>
            <com:city>Boston</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>02110</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>12000</noOfUnitsSold>
        <aggregateMarketValue>22560.00</aggregateMarketValue>
        <noOfUnitsOutstanding>26352733</noOfUnitsOutstanding>
        <approxSaleDate>12/28/2023</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common Stock</securitiesClassTitle>
        <acquiredDate>12/28/2018</acquiredDate>
        <natureOfAcquisitionTransaction>Private Placement</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>ICAD INC</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>12000</amountOfSecuritiesAcquired>
        <paymentDate>12/28/2018</paymentDate>
        <natureOfPayment>Cash/Check</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <remarks>Shares are to be sold from Klein 1999 Family Trust</remarks>
      <noticeSignature>
        <noticeDate>12/28/2023</noticeDate>
        <signature>/s/ Myra King, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Michael Klein</signature>
      </noticeSignature>
    </formData>
  </edgarSubmission>
metadata_documents: [{"type": "144", "sequence": "1", "filename": "primary_doc.xml", "secsgml_size_bytes": 2908}]
text: 144
  0001508911
  XXXXXXXX
  LIVE
  0000749660
  ICAD INC
  001-09341
  98 SPIT BROOK ROAD, SUITE 100
  NASHUA
  NH
  03062
  603-882-5200
  Klein Michael S
  Former Director
  Common Stock
  Fidelity Brokerage Services LLC
  245 Summer Street
  Boston
  MA
  02110
  12000
  22560.00
  26352733
  12/28/2023
  NASDAQ
  Common Stock
  12/28/2018
  Private Placement
  ICAD INC
  N
  12000
  12/28/2018
  Cash/Check
  Y
  Shares are to be sold from Klein 1999 Family Trust
  12/28/2023
  /s/ Myra King, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Michael Klein