A clinical bone sonometer is a device which tests for the risk of bone fractures associated with osteoporosis. This test, called an ultrasound bone densitometry screening, is not typically used for diagnostic purposes; it is generally used as a risk assessment tool. Testing is often recommended for those whose personal history indicates a possible high risk for osteoporosis. Testing is usually conducted by an orthopedist, rheumatologist or neurologist specializing in the treatment of osteoporosis. The patient simply places his or her heel in the sonometer, and it is then scanned using ultrasound to determine bone density. This is a fast and low-cost procedure generally lasting 30 seconds or less. Results typically are available immediately following the procedure. Two score results are possible: a T-score, which compares a patient's scan against that of a young person of the same gender; and a Z-score, which compares the scan against someone of similar age, weight and gender. The T-scores results are used to assess the risk of osteoporosis. A score above -1 indicates a low risk for osteoporosis; below -1 to -2.5 indicates a risk of developing osteoporosis; and a score below -2.5 indicates more intensive testing should be performed and that osteoporosis is likely present. The Z-score reports how much bone the patient has as compared to others his age. If this number is high or low, further testing may be ordered.