Aha - the famous "Golden Rules". But what are these based on? Apart from wishful thinking, or (more likely) anticipated new equipment sales, that is
They mention "obsolete" but do not offer any definition of that word.
Otherwise, yes, that's an interesting document, and worthy of adding to our list of references. The figures for density (the number of systems in use per million inhabitants) for various countries are worthy of study.
This is the quote I like the best (regarding MRI in this case):-
Most European Countries do not meet the COCIR Golden Rules.
Read into that whatever you like.