SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                   FORM 10-K/A
                                (Amendment No. 1)
(Mark One)

(X)      ANNUAL  REPORT  PURSUANT  TO  SECTION  13 OR  15(d)  OF THE  SECURITIES
         EXCHANGE ACT OF 1934

         For the fiscal year ended December 31, 2002
                                   -----------------

                                       OR

( )      TRANSITION  REPORT  PURSUANT  TO SECTION 13 OR 15(d) OF THE  SECURITIES
         EXCHANGE ACT OF 1934

         For the transition period from                      to
                                        --------------------   ---------------

         Commission file number 1-9341
                               -------


                                   ICAD, INC.
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)

               Delaware                                 02-0377419
               --------                                 ----------
       (State or other jurisdiction         (I.R.S. Employer Identification No.)
         of incorporation or organization)

4 Townsend West, Suite 17, Nashua, New Hampshire                   03063
------------------------------------------------                ----------
( Address of principal executive offices)                       ( Zip Code)

Registrant's telephone number, including area code: (603) 882-5200
                                                    --------------

Securities registered pursuant to Section 12(b) of the Act:

                                               None



Securities registered pursuant to Section 12 (g) of the Act:

                                 Title of Class
                          Common Stock, $.01 par value

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding  12 months (or for such  shorter  period that the  registrant  as
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirement for the past 90 days. YES X NO___.






Indicate by check mark if disclosure of delinquent  filers  pursuant to Item 405
of Regulation  S-K is not contained  herein,  and will not be contained,  to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. [x]

Indicate  by check mark  whether  the  registrant  is an  accelerated  filer (as
defined in Rule 12b-2 of the Exchange Act) YES NO X .

The  aggregate  market value of the voting stock held by  non-affiliates  of the
registrant,  based upon the closing price for the  registrant's  Common Stock on
June 28, 2002 was $43,940,562.

As of March 25,  2003,  the  registrant  had  26,350,248  shares of Common Stock
outstanding.






                                    PART III

Item 10.   Directors and Executive Officers of the Registrant.
--------   ---------------------------------------------------



                                                                                          Director
Name                          Age           Position                                       Since
----                          ---           --------                                       ------
                                                                                    
Robert Howard#                 79           Chairman of the Board, and Director             1984
W. Scott Parr#                 51           President, Chief Executive Officer
                                            and Director                                    1998
Annette Heroux                 46           Vice President of Finance, Chief Financial
                                            Officer                                            -
James Harlan*                  51           Director                                        2000
Maha Sallam*                   35           Executive Vice President, Director              2002
Brett Smith+                   33           Director                                        2000
Elliot Sussman*                51           Director                                        2002
Kevin Woods+                   36           Vice President of Research and Development
                                            Director                                        2002

----------------------
+ Class I Director,  current term  expires in 2003
* Class II Director,  current term expires in 2004
# Class III Director, current term expires in 2005

The Company's Certificate of Incorporation  provides that the Company's Board of
Directors is divided into three  classes  (Class I, Class II and Class III).  At
each  Annual  Meeting  of  Stockholders,  directors  constituting  one class are
elected for a three-year term.

Robert  Howard,  the  founder  and  Chairman  of the Board of  Directors  of the
Company, was the inventor of the first impact dot matrix printer. Mr. Howard was
Chief  Executive  Officer of the Company  from its  establishment  in 1984 until
December of 1993.  He was the founder,  and from 1969 to April 1980 he served as
President  and  Chairman  of  the  Board,  of  Centronics  Data  Computer  Corp.
("Centronics"),  a manufacturer of a variety of computer  printers.  He resigned
from  Centronics'  board of directors in 1983.  From April 1980 until 1983,  Mr.
Howard was principally engaged in the management of his investments.  Commencing
in mid-1982, Mr. Howard, doing business as R.H. Research,  developed the ink jet
technology upon which the Company was initially  based.  Mr. Howard  contributed
this technology,  without compensation,  to the Company. Mr. Howard was Chairman
of the  Board of  Presstek,  Inc.  ("Presstek"),  a  public  company  which  has
developed proprietary imaging and consumables  technologies for the printing and
graphic arts  industries from June 1988 to September 1998 and served as Chairman
Emeritus of the Board of Presstek from September 1998 to December 2000.

W.  Scott Parr  joined the  Company in  January  1998,  as  President  and Chief
Executive  Officer.  He was  appointed  to the  Company's  Board of Directors in
February  1998.  In  connection  with the  merger of ISSI,  W. Kip  Speyer,  the
President  and Chief  Executive  Officer of ISSI  assumed the  position of Chief
Executive  Officer of the  Company  and Mr. Parr  continued  in the  position of
President of the Company.  Upon Mr. Speyer's  resignation in September 2002, Mr.
Parr was  re-appointed  as Chief  Executive  Officer  of the  Company.  Prior to
joining iCAD,  Mr. Parr served as Divisional  Director and a member of the Board

                                       2


of  Directors  of SABi  International  Ventures,  Inc.  in  1997,  where  he was
responsible  for  restructuring  and  upgrading  certain US  companies  owned by
foreign and venture  investors.  From 1995 to 1997, Mr. Parr was Chief Executive
Officer,  General Counsel and Director of Allied Logic  Corporation,  a start-up
venture specializing in proprietary molding and manufacturing technologies. From
1990 to 1995  Mr.  Parr  was  General  Counsel  and a  Director  of  LaserMaster
Technologies, Inc.

Annette Heroux joined the Company in October 1987 as Accounting  Manager and was
named Controller in October 1998 and Vice President of Finance,  Chief Financial
Officer in July 1999. Prior to joining the Company,  Ms. Heroux worked from 1980
to 1987 for Laurier, Inc., a semiconductor  equipment  manufacturer,  in various
financial and managerial capacities.

James Harlan has been the Executive Vice President and Chief  Financial  Officer
of HNG  Storage  Company,  a natural gas  storage,  development  and  operations
company since 1998.  From 1991 to 1997 Mr. Harlan served as General  Manager and
Chief  Financial  Officer of Pacific  Resources  Group and  planning and finance
development work with various manufacturing and distribution businesses in Asia.
He also served as operations  research and planning  analyst for the White House
Office of Energy Policy and Planning from 1977 to 1978, the Department of Energy
from 1978 to 1981, and U.S.  Synthetic Fuels  Corporation  from 1981 to 1984. He
has a PhD in Public Policy with an operations research dissertation from Harvard
University and a BS in Chemical Engineering from Washington University.

Maha Sallam has been the  Executive  Vice  President  for the Company since June
2002. From 1997 until the acquisition of ISSI in June 2002, Dr. Sallam served as
Director and Vice  President  of  Regulatory  Affairs and  Clinical  Testing and
Secretary of ISSI.  She was one of ISSI's  founders and has over eleven years of
industry  and  research  experience  in  image  analysis  including  a  doctoral
dissertation, conference presentations and several publications on the automated
analysis of digital  mammograms.  Dr. Sallam  received her  doctorate  degree in
Computer  Science and  Engineering  from the  University of South Florida in May
1997.  She also earned a Master of Science from the  University of South Florida
in 1991 and a Bachelor of Science in Computer Engineering from the University of
South Florida in 1990.

Brett Smith, the son of Mrs. Kit Howard, the wife of the Company's Chairman, has
been the Chairman and CEO of ei3 Corporation,  a provider of technology services
to  manufacturing   companies   utilizing  advanced  frame  relay  and  internet
technologies.  Prior to joining ei3 Mr. Smith was a member of the  restructuring
team for Delta V  Technologies,  a subsidiary  of  Presstek,  where he served as
Director of Business  Development from 1996 to 1999. From 1995 to 1996 Mr. Smith
worked for the Asia Times  newspaper  start-up  team in Hong Kong.  He began his
career as an analyst,  from 1992 to 1994, at Susquehanna  Investment  Group. Mr.
Smith received a Bachelor of Science from Emory University.

Elliot  Sussman is currently  President  and CEO of Lehigh  Valley  Hospital and
Health  Network,  a position he has held since 1993.  Dr. Sussman is the Leonard
Parker Pool Professor of Health Systems Management,  Professor of Medicine,  and
Professor  of Health  Evaluation  Sciences at  Pennsylvania  State  University's
College of Medicine.  Dr. Sussman  served as a Fellow in General  Medicine and a

                                       3


Robert Wood Johnson  Clinical  Scholar at the  University of  Pennsylvania,  and
trained as a resident at the Hospital of the  University  of  Pennsylvania.  Dr.
Sussman  holds a Masters in Business  Administration  from the  Wharton  School,
University  of  Pennsylvania,  a Medical  Degree from Harvard  University  and a
Bachelor of Arts Degree from Yale University.

Kevin Woods has been the Vice  President  of Research  and  Development  for the
Company since June 2002.  From 1997 until the  acquisition of ISSI in June 2002,
Dr. Woods served as Director and Vice President of Research and  Development and
was  one  of  ISSI's  founders.   Prior  to  joining  ISSI,  Dr.  Woods  held  a
competitively  awarded,  post-doctoral research position funded by the U.S. Army
Medical Research and Material  Command's Breast Cancer Research Program.  He has
been researching the automated analysis of digital mammogram images and has been
awarded  research grants  totaling over  $1,400,000 for this purpose.  Dr. Woods
received  his  doctoral  degree in  Computer  Science and  Engineering  from the
University of South Florida in 1991. Dr. Woods also received a Master of Science
and Bachelor of Science in Computer  Engineering  from the  University  of South
Florida in 1989.

Key Employees
-------------

Name                           Age        Position
----                           ---        --------

Richard Lehman                 65      Vice President of Hardware Engineering
William Langille               51      Vice President of Operations
Ernest Henrichon               60      Vice President of  Software Engineering

Richard F.  Lehman  joined the  Company in July  1990,  as  Director  of Scanner
Engineering.   In  December  1993,  he  was  named  Vice  President  of  Scanner
Engineering  and in October  1996, he was named Vice  President of  Engineering.
Prior to joining the Company,  Mr. Lehman was employed by Xerox  Corporation for
23 years where he served in various engineering and managerial capacities.

William A.  Langille  joined the  Company  in March  2001 as Vice  President  of
Operations  and has also served as President  of the  Company's  Howtek  Devices
Corporation  subsidiary  since July  2002.  Prior to joining  the  Company,  Mr.
Langille  worked from 1999 to 2001 for Inspex,  a manufacturer of test equipment
for the  semiconductor  industry.  From 1973 to 1997,  Mr.  Langille  worked for
Nashua Corporation,  a fortune 500 multinational manufacturer and distributor of
computer products and office supplies,  in various  manufacturing and managerial
capacities.

Ernest  Henrichon  joined the Company in February  2003,  as Vice  President  of
Software  Engineering.  From 1998 to 2002,  Dr.  Henrichon was Vice President of
Engineering  at Newpoint  Technologies,  Inc., a provider of  real-time  network
management  software  and  systems  integration  services to the  satellite  and
broadcast industries. He was Vice President of Engineering at Imaging Technology
Inc.  from 1990 to 1997,  where he had  responsibility  for the  development  of
software and hardware components used in OEM image processing applications.


                                       4


Item 11.  Executive Compensation.
--------  -----------------------

The following  table provides  information on the  compensation  provided by the
Company  during fiscal years 2002,  2001 and 2000 to the persons  serving as the
Company's Chief Executive  Officer during fiscal 2002, the Company's most highly
compensated  executive  officers and certain key employees serving at the end of
the 2002 fiscal year ("the Named Persons"). Included in this list are only those
executive  officers  and key  employees  whose  total  annual  salary  and bonus
exceeded $100,000 during the 2002 fiscal year.




                           SUMMARY COMPENSATION TABLE

                                                                                                Securities
                                                                                                Underlying
Name and Principal Position                                        Year        Salary($)         Option(#)
---------------------------                                        ----        ---------         ---------
                                                                                           
W. Kip Speyer (1)
Chief Executive Officer......................................      2002         116,874          625,000(2)


W. Scott Parr
President, Chief Executive Officer, Director.................      2002         173,762          125,000
                                                                   2001         145,669            4,000
                                                                   2000         138,357            - 0 -

Richard F. Lehman
Vice President of  Hardware Engineering.   ..................      2002         126,178           15,372
                                                                   2001         114,135            4,000
                                                                   2000         116,986            5,000

William A. Langille
Vice President of Operations.................................      2002         117,479           54,500
                                                                   2001          71,786           83,000


(1) Mr.  Speyer served as Chief  Executive  Officer of iCAD from June 2002 until
his resignation in September 2002.

(2)  Includes  75,000  options  issued by the Company in the merger with ISSI in
June 2002, in exchange for ISSI options held by Mr. Speyer.


                                       5




                        OPTION GRANTS IN LAST FISCAL YEAR

The  following  table sets forth  certain  information  regarding  stock options
granted by the Company to the Named Persons in 2002.




                               Individual Grants                                             Potential
                         ----------------------------------                                  Realizable Value at
                         Number  of       Percent of                                         Assumed Annual
                         Securities       Total Options                                      Rates of Stock
                         underlying       Granted to        Exercise of                      Price Appreciation
                         Options          Employees         Base Price     Expiration        for Option Term (3)
         Name            Granted(1)       in Fiscal Year(2)    ($/Sh)      Date                 5%($)      10%($)
         ----            ----------       ----------------- ------------   ------------      ---------   ---------
                                                                                         
W. Kip Speyer               75,000 (4)                           .80            05/29/2011      37,734      95,625
                           550,000             25%              3.49            06/28/2012   1,207,163   3,059,189

W. Scott Parr               25,000                              1.75            01/16/2012      27,514      69,726
                           100,000              5%              2.69            11/29/2012     169,173     428,717

Richard F. Lehman           15,372              1%              1.55            11/04/2012      14,984      37,973

William A. Langille         20,000                              1.75            01/16/2012      22,011      55,781
                            34,500              2%              1.55            11/04/2012      33,630      85,225


(1) All of the foregoing  options vest in  installments at various times between
January 16, 2002 and June 28, 2005.

(2) The total number of options granted in fiscal 2002 includes  500,000 options
of the Company issued in exchange for ISSI options in connection with the merger
in June 2002.

(3) The potential  realizable value columns of the table illustrate  values that
might be  realized  upon  exercise  of the  options  immediately  prior to their
expiration,  assuming the Company's  Common Stock  appreciates at the compounded
rates  specified  over the term of the options.  These  numbers do not take into
account  provisions of options providing for termination of the option following
termination of employment or non  transferability of the options and do not make
any provision for taxes  associated  with  exercise.  Because  actual gains will
depend upon, among other things,  future  performance of the Common Stock, there
can be no assurance that the amounts reflected in this table will be achieved.

(4)  Represents  options of the Company  issued in exchange  for ISSI options in
connection with the merger in June 2002.

                 AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
                        AND FISCAL YEAR-END OPTION VALUES

The  following  table sets forth  information  regarding  the  exercise of stock
options  during the Company's  last  completed  fiscal year by each of the Named
Persons and the fiscal year-end value of unexercised options.




                                                                       Number of
                                                                       Securities                Value of
                                                                       Underlying                Unexercised
                                                                       Unexercised               In-the Money
                                                                       Options at                Options at
                                    Shares                             FY-End (#)                FY-End($) (1)
                                    Acquired on       Value            Exercisable/              Exercisable/
Name                                Exercise (#)      Realized         Unexercisable             Unexercisable
----                                ------------      --------         -------------             -------------
                                                                                         
W. Kip Speyer (2)                       0              0               625,000 / -0-             128,250 / -0-
W. Scott Parr (2)                       0              0               510,050 / 21,468          584,512 / 36,496
Richard F. Lehman (2)                   0              0               64,628 / 15,372           73,793 / 14,757
William A. Langille (2)                 0              0               73,000 / 74,500           89,880 / 95,520


------------------------

(1) Based upon the closing  price of the Common Stock on December  31, 2002,  of
$2.51 per share.

                                       6


(2) Options  granted  pursuant to the  Company's  merger and 1993 and 2001 Stock
Option Plans.

The Company does not have any employment  agreements with its executive officers
or key employees.

In September 2002, the Company entered into a Separation  Agreement with each of
W. Kip Speyer, the former Chief Executive Officer of iCAD and Gregory J. Stepic,
the  former  Vice  President  of  Finance  of iCAD.  The  Separation  Agreements
acknowledged the resignations of each of Messrs.  Speyer and Stepic and provided
for  severance  payments to Messrs.  Speyer and Stepic of $500,000 and $148,000,
respectively,  in lieu of any  severance  payments  to which  they may have been
entitled to under their employment agreements.  The severance payments, less any
required  withholding  by the  Company,  are  payable  to Mr.  Speyer  in  equal
installments over a 30 month period and to Mr. Stepic in equal installments over
a 12 month period, in each case subject to the right to accelerate payments upon
the sale of the  outstanding  stock of the Company or upon a sale by the Company
of substantially  all of its assets.  Under the Separation  Agreements,  each of
Messrs.  Speyer and Stepic was entitled to retain his outstanding options of the
Company which remain  exercisable  in accordance  with their  respective  terms.
Also,  pursuant  to the  Separation  Agreements  Messrs.  Speyer and Stepic each
agreed to remain bound by the confidentiality and non-competition  provisions of
their  employment   agreements  for  the  periods  set  for  in  the  employment
agreements.

Compensation of Directors

The Company does not pay cash  compensation to members of its board of directors
for their services as board members.  The Company does reimburse  members of the
board for  out-of-pocket  expenses  incurred for  attendance  at board and board
committee meetings.

During  fiscal 2002 the Company  granted the  following  ten year options to its
board  members:  an aggregate of 125,000  options  exercisable at prices ranging
from $1.75 to $2.69 per share to W. Scott Parr,  which options were  immediately
exercisable;  75,000  options  exercisable  at $1.55 per share to James  Harlan,
which options vest annually in three equal  installments  beginning on September
30, 2003; 100,000 options  exercisable at $3.49 per share to Maha Sallam,  which
options were immediately  exercisable;  20,000 options  exercisable at $1.55 per
share to Brett Smith,  which options vest  annually in three equal  installments
beginning on September 30, 2003;  45,000 options  exercisable at $1.55 per share
to Dr. Elliot Sussman,  which options vest annually in three equal  installments
beginning on September 30, 2003;  and 155,000  options  exercisable at $3.49 per
share to Kevin Woods, which options were immediately exercisable.

                        COMPENSATION COMMITTEE INTERLOCKS
                            AND INSIDER PARTICIPATION

There is no Compensation  Committee or other committee of the Company's Board of
Directors performing similar functions.  The person who performed the equivalent
function in 2002 was Robert Howard, Chairman of the Board under the direction of
the Board of Directors.  W. Scott Parr, Chief Executive  Officer and a director,
participated  in discussions  with Mr. Howard during the past  completed  fiscal
year in his  capacity  as an  executive  officer in  connection  with  executive
officer compensation.  During 2002 none of the executive officers of the Company
served on the Board of Directors or Compensation Committee of any other entity.

                                       7


Item 12.   Security Ownership of Certain Beneficial Owners and Management.
--------   ---------------------------------------------------------------

The following table sets forth certain  information  regarding the Common Stock,
Series A and Series B Convertible  Preferred Stock of the Company owned on March
25,  2003,  by (i) each person who is known to the  Company to own  beneficially
more than 5% of the outstanding  shares of the Company's  Common Stock (ii) each
executive  officer and key  employee  named in the Summary  Compensation  Table,
(iii) each director of the Company,  and (iv) all current executive officers and
directors as a group. The table also provides  information  regarding beneficial
owners of more than 5% of the outstanding  shares of the Company's  Series A and
Series B Convertible  Preferred  Stock.  Unless  otherwise  indicated below, the
address of each  beneficial  owner is c/o iCAD,  Inc. 4 Townsend West,  Suit 17,
Nashua, New Hamsphire 03063.

   Item 12.   Security Ownership of Certain Beneficial Owners and Management.
   --------   ---------------------------------------------------------------




                                                                      Number of Shares
             Name and Address of                   Title                Beneficially                     Percentage
              Beneficial Owner                    of Class             Owned (1) (2)                      of Class
              ----------------                    --------             --------------                     --------
                                                                                                
    Robert Howard                              Common                           5,184,863 (3)                      19.7%
          145 East 57th Street
          New York, New York 10022
    Maha Sallam                                Common                           2,346,000 (4)                       8.9%
          4902 Eisenhower Blvd.
          Tampa, FL  33634
    Donald Chapman                             Common                           1,950,706 (5)                       7.2%
          8650 South Ocean Drive               Preferred Series A                   4,600                          64.3%
          Jenson Beach, FL  34957              Preferred Series B                     680                          48.6%
    W. Kip Speyer                              Common                           1,860,000 (6)                       6.9%
          10361 Parkstone Way
          Boca Raton, FL  33498
    Kevin Woods                                Common                           1,557,275 (7)                       5.9%
          4902 Eisenhower Blvd.
          Tampa, FL  33634
    W. Scott Parr                              Common                             636,179 (8)                       2.4%
                                               Preferred Series A                     550                           7.7%
                                               Preferred Series B                      50                           3.6%
    Edgar Ball                                 Preferred Series B                     200                          14.3%
            PO Box 560726
            Rockledge, FL  32956
    Dr. Lawrence Howard                        Preferred Series A                   1,000                          14.0%
            660 Madison Avenue
            New York, NY  10021
    John McCormick                             Preferred Series A                   1,000                          14.0%
            11340 SW Aventine Circus
             Portland, OR  97219
    Dr. Herschel Sklaroff                      Preferred Series B                     100                           7.1%
           1185 Park Avenue
           New York, NY  10128
    John Westerfield                           Preferred Series B                     100                           7.1%
            4522 SW Bimini Circle N.
            Palm City, FL  34990
    James Harlan                               Common                             104,000  (9)                         *
    Brett Smith                                Common                              36,588  (10)                        *
                                               Preferred Series B                      20                           1.4%
    Dr. Elliot Sussman                         Common                               3,000                              *
    Richard Lehman                             Common                              65,628  (11)                        *
    William Langille                           Common                              79,389  (12)                        *
    All current executive officers and         Common                           9,981,222  (3), (4) &              36.3%
     directors as a group (8 persons)                                          (7) through (10)
                                               Preferred Series A                     550                           7.7%
                                               Preferred Series B                      70                           5.0%

    ---------------------------------------------------------------
       * Less than one percent








1)   A person is deemed to be the  beneficial  owner of  securities  that can be
     acquired  by such  person  within 60 days from  March  25,  2003,  upon the
     exercise  of  options,  warrants or rights;  through  the  conversion  of a
     security; pursuant to the power to revoke a trust, discretionary account or
     similar arrangement;  or pursuant to the automatic  termination of a trust,
     discretionary  account  or similar  arrangement.  Each  beneficial  owner's
     percentage  ownership is  determined  by assuming that the options or other
     rights to acquire beneficial ownership as described above, that are held by
     such  person  (but not  those  held by any  other  person)  and  which  are
     exercisable within 60 days from March 25, 2003, have been exercised.

2)   Unless  otherwise  noted, the Company believes that the persons referred to
     in the table have sole  voting  and  investment  power with  respect to all
     shares reflected as beneficially owned by them.

3)   Includes options to purchase 10,000 shares of the Company's Common Stock at
     $1.72 per share.  Also,  includes 40,000 shares  beneficially  owned by Mr.
     Howard's wife.

4)   Includes  183,625  shares  owned by Dr.  Sallam's  husband.  Also  includes
     options to purchase  56,250 shares of the  Company's  Common Stock at $0.80
     per share and 100,000 shares at $3.49 per share.

5)   Includes  28,000  shares owned by Mr.  Chapman's  wife,  460,000  shares of
     Common  Stock  issuable  upon  conversion  of  4,600  shares  of  Series  A
     Convertible  Preferred  Stock and 340,000  shares of Common Stock  issuable
     upon conversion of 680 shares of Series B Convertible Preferred Stock owned
     by Mr. Chapman.

6)   Includes options to purchase 75,000 shares of the Company's Common Stock at
     $0.80 per share and 550,000 shares at $3.49 per share.

7)   Includes options to purchase 56,250 shares of the Company's Common Stock at
     $0.80 per share and 155,000 shares at $3.49 per share.

8)   Includes 11,000 shares owned by Mr. Parr's wife.  Also includes  options to
     purchase  275,268 shares of the Company's  Common Stock at $1.13 per share,
     103,532 shares at $0.81 per share,  2,250 shares at $1.00 per share,  4,000
     shares at $0.95 per  share,  25,000  shares at $1.75 per share and  100,000
     shares at $2.69 per share,  55,000  shares of Common  Stock  issuable  upon
     conversion of 550 shares of Series A Convertible Preferred Stock and 25,000
     shares of Common Stock  issuable  upon  conversion of 50 shares of Series B
     Convertible Preferred Stock owned by Mr. Parr.

9)   Includes options to purchase 25,000 shares of the Company's Common Stock at
     $1.75 per share.

10)  Includes  options to purchase 25,000 of the Company's Common Stock at $3.00
     per share.  Also,  includes  10,000  shares of Common Stock  issuable  upon
     conversion of 20 shares of Series B Convertible Preferred Stock.

                                       9


11)  Includes 1,000 shares owned by Mr. Lehman's wife. Also includes  options to
     purchase  26,500 of the Company's  Common Stock at $1.72 per share,  16,376
     shares at $1.13 per share, 7,752 shares at $1.00 per share, 5,000 shares at
     $0.81 per share,  5,000 shares at $1.75 per share and 4,000 shares at $0.95
     per share.

12)  Includes options to purchase 30,000 shares of the Company's Common Stock at
     $1.75 per share and 43,000 shares at $0.95 per share.


Equity Compensation Plan

The following  table  provides  certain  information  with respect to all of the
Company's equity compensation plans in effect as of December 31, 2002.



                                                                                          Number of securities
                                                                                        remaining available for
                                 Number of securities to be      Weighted-average        issuance under equity
                                   issued upon exercise of      exercise price of    compensation plans (excluding
                                    outstanding options,       outstanding options,     securities reflected in
                                     warrants and rights       warrants and rights            column (a))
                                 -----------------------------------------------------------------------------------
                                                                                       
Plan Category:
Equity compensation plans
approved by security holders:             3,774,748                   $2.04                     771,305
--------------------------------------------------------------------------------------------------------------------
Equity compensation plans not              57,000                     $2.56                       -0-
approved by security holders
(1):
--------------------------------------------------------------------------------------------------------------------
Total                                     3,831,748                   $2.05                     771,305
--------------------------------------------------------------------------------------------------------------------



(1)  Represents  the  aggregate  number of shares of common stock  issuable upon
     exercise of individual  arrangements with option and warrant holders. These
     options and warrants are five years in  duration,  expire at various  dates
     between  December 31, 2004 and February  28,  2005,  contain  anti-dilution
     provisions  providing for  adjustments  of the exercise price under certain
     circumstances  and have termination  provisions  similar to options granted
     under  stockholder  approved plans. See Note 8 of Notes to the Consolidated
     Financial  Statements  for a  description  of the  Company' s Stock  Option
     Plans.


Item 13.   Certain Relationships and Related Transactions.
--------   -----------------------------------------------

The Company has a Revolving Loan and Security  Agreement (the "Loan  Agreement")
with Mr. Robert Howard, Chairman of the Board of Directors of the Company, under
which Mr.  Howard has  agreed to advance  funds,  or to  provide  guarantees  of
advances made by third parties in an amount up to $3,000,000. The Loan Agreement
expires  January  4, 2004,  subject to  extension  by the  parties.  Outstanding
advances are  collateralized  by substantially  all of the assets of the Company
and bear  interest  at prime  interest  rate plus 2%. Mr.  Howard is entitled to
convert outstanding advances made by him under the Loan Agreement into shares of

                                       10


the Company's  common stock at any time based on the outstanding  closing market
price of the  Company's  common  stock at the lesser of the market  price at the
time each advance is made or at the time of conversion.

In March 2002,  Mr.  Howard  converted  $500,000 of advances made under the Loan
Agreement into 215,517 shares of restricted common stock of the Company.

During the second quarter of 2002 the Company borrowed  $250,000 and in November
2002 the Company repaid Mr. Howard $50,000 pursuant to the Loan Agreement. As of
December  31,  2002,  $200,000  was  owed by the  Company  and the  Company  had
$2,800,000 available for future borrowings under the Loan Agreement.

In connection with the merger of Howtek, Inc. and ISSI in June 2002, the Company
issued  2,000,000 shares of common stock to an entity owned by Mr. Robert Howard
in exchange for 1,600,000 shares of ISSI common stock owned by the entity.

The Company had Secured Demand Notes and Security  Agreements (the "Notes") owed
to Mr. Robert Howard.  The principal of these Notes was due and payable in full,
together with interest accrued and any penalties provided for, on demand.  Under
the terms of the Notes the Company  agreed to pay  interest at the lower rate of
(a) 12% per annum,  compounded  monthly or (b) the  maximum  rate  permitted  by
applicable  law.  Payment of the Notes was  secured by a  security  interest  in
certain  assets of the Company.  In March 2002 the Company  repaid the principal
balance due in the amount of $500,000 and the Notes were discharged.

The facility  formerly  housing the Company's  principal  executive  offices and
research and  development  laboratory  was leased by the Company from Mr. Robert
Howard.  Rental  expense for the year ended  December 31, 2002 was $78,500.  The
Company  relocated  in January  2003 to a facility  leased from an  unafilliated
party.


Item 14.          Controls and Procedures
--------          -----------------------

Within the 90 days prior to the filing date of this Annual  Report on Form 10-K,
an evaluation was carried out (the "Controls Evaluation"), under the supervision
and  with  the  participation  of  Company's  management,  including  its  Chief
Executive  Officer  ("CEO")  and its Chief  Financial  Officer  ("CFO"),  of the
effectiveness of the Company's  "disclosure controls and procedures" (as defined
in Section  13a-14 (c) and 15d-14  (c) of the  Securities  Exchange  Act of 1934
("Disclosure  Controls").  Based  upon  that  evaluation,  the CEO and CFO  have
concluded  that  the  Disclosure  Controls  are  effective  to  ensure  that the
information  required  to be  disclosed  by the  Company  in reports it files or
submits  under  the  Securities  Exchange  Act of 1934 is  recorded,  processed,
summarized and reported as required by the rules and forms of the Securities and
Exchange Commission.

The CEO and CFO note that, since the date of the Controls Evaluation to the date
of this Annual Report on Form 10-K,  there have been no  significant  changes in
the Company's  internal  controls or in other  factors that could  significantly
affect the internal  controls,  including any corrective  actions with regard to
significant deficiencies and material weaknesses.

                                       11


                                     PART IV

Item 15.  Exhibits, Financial Statement Schedules, and Reports
          on Form 8-K.

               a) The  following  documents  are  filed  as part of this  Annual
          Report on Form 10-K:

                    i.   Financial Statements - See Index on page 55.

                    ii.  Financial  Statement  Schedule  - See Index on page 55.
                         All other  schedules for which provision is made in the
                         applicable accounting regulations of the Securities and
                         Exchange  Commission are not required under the related
                         instructions or are not applicable and, therefore, have
                         been omitted.

                    iii. Exhibits  -  the  following   documents  are  filed  as
                         exhibits to this Annual Report on Form 10-K:

                    2(a) Plan and  Agreement of Merger dated  February 15, 2002,
                         by and among the Registrant, ISSI Acquisition Corp. and
                         Intelligent Systems Software,  Inc., Maha Sallam, Kevin
                         Woods and W. Kip Speyer.  [incorporated by reference to
                         Annex  A of the  Company's  proxy  statement/prospectus
                         dated  May  24,  2002  contained  in  the  Registrant's
                         Registration Statement on Form S-4, File No. 333-86454]

                    3(a) Certificate of  Incorporation  of the Registrant  filed
                         with the Secretary of State of the State of Delaware on
                         February 24, 1984 [incorporated by reference to Exhibit
                         3.1 to the Registrant's  Registration Statement on Form
                         S-18 (Commission File No. 2-94097 NY), filed on October
                         31, 1984]

                    3(b) Certificate    of   Amendment   of    Certificate    of
                         Incorporation   of  the  Registrant,   filed  with  the
                         Secretary  of State of the State of Delaware on May 31,
                         1984  [incorporated  by reference to Exhibit  3.1(a) to
                         the  Registrant's  Registration  Statement on Form S-18
                         (Commission File No. 2-94097-NY),  filed on October 31,
                         1984]

                    3(c) Certificate    of   Amendment   of    Certificate    of
                         Incorporation   of  the   Registrant   filed  with  the
                         Secretary  of State of the State of  Delaware on August
                         22, 1984  [incorporated  by reference to Exhibit 3.1(b)
                         to the Registrant's Registration Statement on Form S-18
                         (Commission File No. 2-94097-NY),  filed on October 31,
                         1984].

                                       12


                    3(d) Certificate    of   Amendment   of    Certificate    of
                         Incorporation   of  the   Registrant   filed  with  the
                         Secretary  of State of the State of Delaware on October
                         22, 1987  [incorporated by reference to Exhibit 3(d) to
                         the  Registrant's  Annual  Report  on Form 10-K for the
                         year ended December 31, 1988].

                    3(e) Certificate    of   Amendment   of    Certificate    of
                         Incorporation   of  the   Registrant   filed  with  the
                         Secretary   of  State  of  the  State  of  Delaware  on
                         September  28,  1999   [incorporated  by  reference  to
                         Exhibit 3(d) to the Registrant's  Annual Report on Form
                         10-K for the year ended December 31, 2001].

                    3(f) Certificate    of   Amendment   of    Certificate    of
                         Incorporation   of  the   Registrant   filed  with  the
                         Secretary of State of the State of Delaware on June 28,
                         2002  [incorporated  by reference to Exhibit 3.1 of the
                         Registrant's  Quarterly  report  on Form  10-Q  for the
                         quarter ended June 30, 2002].

                    3(g) By-laws of  Registrant  [incorporated  by  reference to
                         Exhibit 3.2 to the Registrant's  Registration Statement
                         on Form S-18 (Commission File No. 2-94097-NY), filed on
                         October 31, 1984].

                    10(a)Revolving Loan and Security Agreement,  and Convertible
                         Revolving Credit  Promissory Note between Robert Howard
                         and  Registrant  dated  October  26,  1987  (the  "Loan
                         Agreement") [incorporated by reference to Exhibit 10 to
                         the  Registrant's  Report on Form 10-Q for the  quarter
                         ended September 30, 1987].

                    10(b)Letter  Agreement  dated June 28,  2002,  amending  the
                         Revolving Loan and Security Agreement,  and Convertible
                         Revolving Credit  Promissory Note between Robert Howard
                         and Registrant dated October 26, 1987. #

                    10(c)Form of Secured  Demand  Notes  between the  Registrant
                         and Mr. Robert  Howard.  [incorporated  by reference to
                         Exhibit 10(e) to the  Registrant's  Report on Form 10-K
                         for the year ended December 31, 1998].

                    10(d)Form of Security  Agreements between the Registrant and
                         Mr. Robert Howard [incorporated by reference to Exhibit
                         10(f) to the  Registrant's  Report on Form 10-K for the
                         year ended December 31, 1998].


                                       13


                    10(e)Certificate  of  Designation of 7% Series A Convertible
                         Preferred Stock dated December 22, 1999.  [incorporated
                         by  reference  to  Exhibit  10(i)  to the  Registrant's
                         Report on Form  10-K for the year  ended  December  31,
                         1999].

                    10(f)Certificate  of  Designation of 7% Series B Convertible
                         Preferred Stock dated October 16, 2000 [incorporated by
                         reference to Exhibit 10(j) to the  Registrant's  Report
                         on Form 10-K for the year ended December 31, 2000].

                    10(g)Separation  agreement  dated September 24, 2002 between
                         the  Registrant  and W.  Kip  Speyer  [incorporated  by
                         reference to Exhibit 10.1 to the Registrant's quarterly
                         report on Form 10-Q for the quarter ended September 30,
                         2002].*

                    10(h)Separation  agreement  dated September 30, 2002 between
                         the Registrant and Gregory J. Stepic  [incorporated  by
                         reference to Exhibit 10.2 to the Registrant's quarterly
                         report on Form 10-Q for the quarter ended September 30,
                         2002].*

                    10(i)1993 Stock  Option Plan  [incorporated  by reference to
                         Exhibit  A  to  the  Registrant's  proxy  statement  on
                         Schedule  14-A filed with the  Securities  and Exchange
                         Commission on August 24, 1999].*

                    10(j)2001 Stock  Option Plan  [incorporated  by reference to
                         Annex A of the Registrant's proxy statement on Schedule
                         14-A filed with the Securities and Exchange  Commission
                         on June 29, 2001].*

                    10(k)2002 Stock  Option Plan  [incorporated  by reference to
                         Annex F to the Registrant's  Registration  Statement on
                         Form S-4 (File No. 333-86454)].*

                    10(l)Exclusive  Distribution  Agreement between  Intelligent
                         Systems  Software,  Inc. and  Instrumentarium  Imaging,
                         Inc., dated August 15, 2001.**#

                    10(m)License   Agreement   between  Scanis,   Inc.  and  the
                         Registrant dated February 18, 2003.**#

                    21   Subsidiaries#

                    23(a) Consent of BDO Seidman, LLP.#


                                       14


                    31.1 Certification  of Chief Executive  Officer  Pursuant to
                         Rule  13a-14 of the  Securities  Exchange  Act of 1934,
                         implementing  Section 302 of the  Sarbanes-Oxley Act of
                         2002.


                    31.2 Certification  of Chief Financial  Officer  Pursuant to
                         Rule  13a-14 of the  Securities  Exchange  Act of 1934,
                         implementing  Section 302 of the  Sarbanes-Oxley Act of
                         2002.


                    99.1 Certification  of Chief Executive  Officer  pursuant to
                         Section 906 of the Sarbanes-Oxley Act of 2002.#

                    99.2 Certification  of Chief Financial  Officer  pursuant to
                         Section 906 of the Sarbanes-Oxley Act of 2002.#


--------------------
         * Denotes a management compensation plan or arrangement.

         ** Portions of these  documents have been omitted and filed  separately
         with the Securities and Exchange  Commission  pursuant to a request for
         confidential treatment of the omitted portions.


          # previously filed with the Registrant's Form 10-K for the fiscal year
          ended December 31, 2002.

                  (b) During  the last  quarter  of the  period  covered by this
                      Annual Report on Form 10-K the Company filed no reports on
                      Form 8-K.

                  (c) Exhibits - See (a) iii above.

                  (d) Financial Statement Schedule - See (a) ii above.

                                       15




                                   SIGNATURES
                                   ----------

         Pursuant to the  requirements  of Section 13 or 15(d) of the Securities
Exchange Act of 1934,  the  registrant has duly caused this amended report to be
signed on its behalf by the undersigned, thereunto duly authorized.

                                   ICAD, INC.
Date: November 21, 2003

                                   By: /s/  W. Scott Parr
                                      ----------------------------------------
                                          W. Scott Parr
                                          President, Chief Executive Officer

                                     /s/ Annette Heroux
                                     -----------------------------------------
                                         Chief Financial Officer (Principal
                                         Accounting Officer)


                                       16