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                                                  ---------------------------
                 UNITED STATES                    OMB APPROVAL
     SECURITIES AND EXCHANGE COMMISSION
           Washington, D.C. 20549
                                                  ---------------------------
                                                  OMB NUMBER: 3235-0145
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                                  SCHEDULE 13D

                    UNDER THE SECURITIES EXCHANGE ACT OF 1934
                               (AMENDMENT NO. 2*)

                                   ICAD, INC.
--------------------------------------------------------------------------------
                                (NAME OF ISSUER)


                          COMMON STOCK, $.01 PAR VALUE
--------------------------------------------------------------------------------
                         (TITLE OF CLASS OF SECURITIES)

                                   44934S 10 7
--------------------------------------------------------------------------------
                                 (CUSIP NUMBER)


                                Ethan Seer, Esq.
                                 Blank Rome LLP
                              405 Lexington Avenue
                            New York, New York 10174
                                 (212) 885-5000
--------------------------------------------------------------------------------
                  (NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON
                AUTHORIZED TO RECEIVE NOTICE AND COMMUNICATIONS)

              June 27, 2003; September 11, 2003; September 18, 2003
--------------------------------------------------------------------------------
             (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT)

IF THE FILING PERSON HAS PREVIOUSLY  FILED A STATEMENT ON SCHEDULE 13G TO REPORT
THE  ACQUISITION  THAT IS THE SUBJECT OF THIS  SCHEDULE  13D, AND IS FILING THIS
SCHEDULE BECAUSE OF SS.SS.240.13D-1(E,  240.13D-1(F) OR 240.13D-1(G),  CHECK THE
FOLLOWING BOX [ ].

NOTE:  SCHEDULES  FILED IN PAPER FORMAT SHALL INCLUDE A SIGNED ORIGINAL AND FIVE
COPIES OF THE  SCHEDULE,  INCLUDING  ALL EXHIBITS.  SEE  SS.240.13D-7  FOR OTHER
PARTIES TO WHOM COPIES ARE TO BE SENT.

* THE REMAINDER OF THIS COVER PAGE SHALL BE FILLED OUT FOR A REPORTING  PERSON'S
INITIAL FILING ON THIS FORM WITH RESPECT TO THE SUBJECT CLASS OF SECURITIES, AND
FOR  ANY  SUBSEQUENT   AMENDMENT   CONTAINING   INFORMATION  WHICH  WOULD  ALTER
DISCLOSURES PROVIDED IN A PRIOR COVER PAGE.

THE INFORMATION REQUIRED ON THE REMAINDER OF THIS COVER PAGE SHALL NOT BE DEEMED
TO BE "FILED" FOR THE PURPOSE OF SECTION 18 OF THE  SECURITIES  EXCHANGE  ACT OF
1934 ("ACT") OR OTHERWISE  SUBJECT TO THE LIABILITIES OF THAT SECTION OF THE ACT
BUT  SHALL BE  SUBJECT  TO ALL OTHER  PROVISIONS  OF THE ACT  (HOWEVER,  SEE THE
NOTES).


                               Page 1 of 5 Pages







CUSIP NO.  44934S 10 7
--------------------- -------------------------------------------------------------------------------------------------------------
            
               1.     NAMES OF  REPORTING  PERSONS.  I.R.S.  IDENTIFICATION  NOS. OF ABOVE PERSONS (ENTITIES ONLY).

                      Robert Howard
--------------------- -------------------------------------------------------------------------------------------------------------
               2.     CHECK  THE  APPROPRIATE  BOX IF A MEMBER  OF A GROUP  (SEE INSTRUCTIONS)
                      (A) |_|
                      (B) |_|
--------------------- -------------------------------------------------------------------------------------------------------------
               3.     SEC USE ONLY

--------------------- -------------------------------------------------------------------------------------------------------------
               4.     SOURCE OF FUNDS (SEE INSTRUCTIONS)

                      PF
--------------------- -------------------------------------------------------------------------------------------------------------
               5.     CHECK IF DISCLOSURE OF LEGAL  PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) or 2(E) |_|

--------------------- -------------------------------------------------------------------------------------------------------------
               6.     CITIZENSHIP OR PLACE OF ORGANIZATION

                      United States
--------------------- -------- ----------------------------------------------------------------------------------------------------
 NUMBER OF            7.       SOLE VOTING POWER

  SHARES                         6,312,175
                      -------- ----------------------------------------------------------------------------------------------------
BENEFICIALLY          8.       SHARED VOTING POWER

 OWNED BY                         40,000
                      -------- ----------------------------------------------------------------------------------------------------
   EACH               9.       SOLE DISPOSITIVE POWER

 REPORTING                       6,312,175

PERSON WITH           -------- ----------------------------------------------------------------------------------------------------
                      10.      SHARED DISPOSITIVE POWER
                                  40,000
--------------------- -------- ----------------------------------------------------------------------------------------------------
               11.    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

                      6,352,175
--------------------- -------------------------------------------------------------------------------------------------------------
               12.    CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)                |_|


--------------------- -------------------------------------------------------------------------------------------------------------
               13.    PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

                       22.3
--------------------- -------------------------------------------------------------------------------------------------------------
               14.    TYPE OF REPORTING PERSON*

                      IN
--------------------- -------------------------------------------------------------------------------------------------------------


                                Page 2 of 5 Pages


Item 1.  Security and Issuer
         -------------------

         This  Amendment No. 2 relates to the common  stock,  par value $.01 per
share  ("Common  Stock"),  issued by iCAD,  Inc.,  a Delaware  corporation  (the
"Company"),  whose principal  executive  offices are located at 4 Townsend West,
Nashua, NH 03063. Except as modified hereby in this Item 1 or the other items of
this report, there has been no change in the information  previously reported in
the Schedule 13D of Robert Howard (the "Reporting Person") or in Amendment No. 1
to the Schedule 13D ("Amendment No. 1").

Item 3.  Source and Amount of Funds or other Consideration.
         --------------------------------------------------

         A total of  1,092,312  shares of  Common  Stock  reported  in Item 5 as
beneficially  owned by the Reporting  Person represent shares that the Reporting
Person may acquire from the Company  pursuant to the  conversion of  Convertible
Revolving  Credit  Promissory  Notes  in  the  aggregate   principal  amount  of
$2,930,000  payable by the Company to the Reporting  Person (the "Notes")  which
represents  loans made by the  Reporting  Person to the Company.  The  Reporting
Person  used his  personal  funds to advance to the  Company the loans that were
evidenced by the Notes.  A total of $200,000 of the $250,000  Notes  reported in
Amendment  No. 1 are currently  outstanding.  These Notes are  convertible  into
Common  Stock at the lesser of $2.50 per share or the closing  sale price of the
Common Stock as of the date of the conversion of the Note. Information regarding
the loans made by the  Reporting  Person to the Company and the Notes  issued by
the  Company  in favor of the  Reporting  Person  subsequent  to the  filing  of
Amendment No. 1 by the Reporting Person are as follows:


    Date of Loan              Principal Amount of Loan       Conversion Price
    ------------              ------------------------       ----------------
    April 22, 2003                     $ 30,000                       $2.28(1)
    June 19, 2003                      $200,000                       $1.97(1)
    June 27, 2003                      $400,000                       $2.09(1)
    July 18, 2003                      $275,000                       $2.18(1)
    July 25, 2003                      $200,000                       $3.00(1)
    August 1, 2003                     $125,000                       $2.80(1)
    September 11, 2003               $1,000,000                       $3.18(1)
    September 18, 2003                 $500,000                       $3.24(1)

         (1) The  conversion  price of these  Notes  are the  lesser  of (i) the
closing  sale price of the  underlying  Common Stock on the date the funds under
the Notes were  advanced to the Company  (which  prices are noted above) or (ii)
the  closing  sale price of the Common  Stock on the  business  day  immediately
preceding the conversion date of the Notes.


Item 4. Purpose of Transaction.
        ----------------------

         The shares of Common  Stock  underlying  the Notes  reported  in Item 3
herein will be acquired by the Reporting  Person for  investment  purposes.  The
Reporting  Person may make  purchases  of Common Stock from time to time and may
dispose of any or all of the shares of Common  Stock  beneficially  owned by him
(to the extent he has current  dispositive  power over such shares) at any time.
The Reporting  Person has no plans or proposals which relate to, or could result
in any of the  matters  referred to in  Paragraphs  (b) through (j) of Item 4 of
Schedule 13D.


                                Page 3 of 5 Pages



Item 5.  Interest in Securities of the Issuer.
         ------------------------------------

         (a)-(b) The  percentage of Common Stock owned by the  Reporting  Person
reflected  in this  Report is based  upon  27,293,285  shares  of  Common  Stock
outstanding on September 30, 2003. The Reporting Person beneficially owns, as of
the date of this Report, 6,352,175 shares of Common Stock, which amount includes
(i)  5,134,863  shares owned by the  Reporting  Person  (which  amount  includes
2,000,000  shares held through a corporation),  (ii) 85,000 shares issuable upon
exercise  of options  owned by the  Reporting  Person,  (iii)  1,092,312  shares
issuable upon conversion of the Notes and (iv) 40,000 shares  beneficially owned
by Kit Howard,  the wife of the  Reporting  Person,  (of which 25,000 shares are
issuable upon  exercise of options  owned by the wife of the Reporting  Person).
The  Reporting  Person may be deemed to have sole voting and  disposition  power
over the shares  referred  to in items (i) - (iii)  above and shared  voting and
disposition power over the shares referred to in item (iv) above.

         (c) See Item 3 for a description  of the Notes issued by the Company in
favor of the  Reporting  Person  in  consideration  of  loans  in the  aggregate
principal amount of $2,930,000 made by the Reporting Person to the Company.

         (d) Kit Howard, the Reporting Person's spouse, has the right to receive
dividends  on, and any  proceeds  from the  disposition  of any shares of Common
Stock reported as owned by her in Item 5 above.

         (e) It is  inapplicable  for the  purposes  hereof to state the date on
which the Reporting Person ceased to be the owner of more than five percent (5%)
of the Common Stock.


Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to
        ------------------------------------------------------------------------
        Securities of the Issuer.
        ------------------------

         The Company has a  Convertible  Revolving  Credit  Promissory  Note and
Revolving Loan and Security  Agreement (the "Loan Agreement") with the Reporting
Person  under  which the  Reporting  Person has agreed to advance  funds,  or to
provide  guarantees  of  advances  made by  third  parties  in an  amount  up to
$4,000,000.  The Loan Agreement expires January 4, 2005, subject to extension by
the parties. Outstanding advances are collateralized by substantially all of the
assets of the Company.  Advances made under the Loan  Agreement bear interest at
prime  interest  rate plus 2% with a minimum of 8% interest rate on all advances
outstanding.  The Loan  Agreement  entitles  the  Reporting  Person  to  convert
outstanding advances into shares of Common Stock at any time based on the lesser
of the  market  price of the Common  Stock at the time of the  advance or at the
time of conversion of the Note.

         In connection  with the June 2002 merger of a subsidiary of the Company
and  Intelligent  System  Software,  Inc.  ("ISSI"),  the Company entered into a
stockholders' agreement with the Reporting Person, the Company's Chief Executive
Officer  and certain  stockholders  of ISSI.  The  parties to the  stockholders'
agreement  agreed to limit the number of shares of the  Company's  Common  Stock
each  may sell on a  quarterly  basis  over the  course  of two  years  from the
consummation of the merger.


                                Page 4 of 5 Pages



         Except as  described  in this Item 6 and in Item 5 above,  there are no
contracts,  arrangements,  understandings  or  relationships  with the Reporting
Person or any other  person  with  respect  to the  securities  of the  Company,
including  but not  limited  to  transfer  or voting  of any  other  securities,
finders'  fees,  joint  ventures,  loan or option  arrangements,  puts or calls,
guaranties of profits, divisions of profits or loss or the giving or withholding
of proxies.


                                    SIGNATURE


         After reasonable  inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

DATE: September  30, 2003

                                        /s/ Robert Howard
                                        -------------------------------------
                                        Robert Howard



                                Page 5 of 5 Pages