The aim of this systematic review was to identify the correlations between spectrum sensing, clustering algorithms, and energy-harvesting technology for cognitive-radio-based internet of things (IoT) networks in terms of deep-learning-based, nonorthogonal, multiple-access techniques. The search results and screening procedures were configured with the use of a web-based Shiny app in the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) flow design. AMSTAR, DistillerSR, Eppi-Reviewer, PICO Portal, Rayyan, and ROBIS were the review software systems harnessed for screening and quality assessment, while bibliometric mapping (dimensions) and layout algorithms (VOSviewer) configured data visualization and analysis. Cognitive radio is pivotal in the utilization of an adequate radio spectrum source, with spectrum sensing optimizing cognitive radio network operations, opportunistic spectrum access and sensing able to boost the efficiency of cognitive radio networks, and cooperative spectrum sharing together with simultaneous wireless information and power transfer able increase spectrum and energy efficiency in 6G wireless communication networks and across IoT devices for efficient data exchange.