With the development of nuclear energy, the long-lived radionuclides are inevitably released into the natural environment during the mine process, fuel manufacture, nuclear power usable and spent fuel management, which are dangerous to human health and environmental pollution. Thereby the efficient elimination of radionuclides is an important parameter which affects the development of nuclear power. In recent years, the metal-organic frameworks (MOFs) have attracted worldwide attention in the adsorption of radionuclides from large volume of aqueous solutions, because of their high chemical stability, abundant functional groups and changeable porous structures. In this review, we mainly summarized the recent works of MOFs in the efficient removal of radionuclides, and to understand the interaction mechanism from batch adsorption experiments, model analysis, advanced spectroscopy analysis, and theoretical calculation. The adsorption capacities of MOFs with other materials were also summarized, and the future research opportunities and challenges are given in the perspective.