“…Over the past decades, several other classes of 64 Cu[Cu II ] chelators have been identified as suitable agents for PET. ,,, Macrocyclic polyaminocarboxylates derived from cross-bridged (CB) cyclam provide impressive thermodynamic and kinetic stability through the constrained binding cavity; ,, however, these systems can require harsh and extended radiolabeling conditions incompatible with biological conjugating agents , without further modification. − Frameworks based on 1,4,7-triazacyclononane (tacn; e.g., NOTA) can display excellent stability and chelate 64 Cu[Cu II ] rapidly under mild conditions, ,,, while further modifications to molecular charge, lipophilicity, and conjugation can lead to improved performance. ,,− Pre-organized polycyclic N -donor chelates based on bispidine (bispa) − and sarcophagi (SarAr) scaffolds − can enable mild radiolabeling conditions and reasonable in vivo stability. Functionalization can be low yielding due to unselective alkylation and the presence of multiple regioisomers; however, several effective approaches have been identified and clinical trials are ongoing. ,− ,− …”