This systematic literature review addresses the critical challenge of ensuring robustness and adaptability in AI-based machine health monitoring (MHM) systems. While the field has seen a surge in research, a significant gap exists in understanding how to effectively manage data scarcity, unknown fault types, and the integration of diverse data streams for real-world industrial applications. The problem is magnified by the rarity of failure events, which leads to imbalanced datasets and hampers the generalizability of predictive models. To synthesize the current state of research and identify key solutions, we followed a rigorous, modified PRISMA methodology. A comprehensive search across Scopus, IEEE Xplore, Web of Science, and Litmaps initially yielded 3235 records. After a multi-stage screening process, a final corpus of 85 peer-reviewed studies was selected. Data were extracted and synthesized based on a thematic framework of 13 core research questions. A bibliometric analysis was also conducted to quantify publication trends and research focus areas. The analysis reveals a rapid increase in research, with publications growing from 1 in 2018 to 35 in 2025. Key findings highlight the adoption of transfer learning and generative AI to combat data scarcity, with multimodal data fusion emerging as a crucial strategy for enhancing diagnostic accuracy. The most active research themes were found to be Predictive Maintenance and Edge Computing, with 12 and 10 references, respectively, while critical areas like standardization remain under-explored. Overall, this review shows that AI benefits machine health monitoring but still faces challenges in reproducibility, benchmarking, and large-scale validation. Its main limitation is the focus on English peer-reviewed studies, excluding industry reports and non-English work. Future research should develop standardized datasets, energy-efficient edge AI, and socio-technical frameworks for trust and transparency. The study offers a structured overview, a roadmap for future work, and underscores the importance of AI in Industry 4.0.
Fahim Sufi (Sun,) studied this question.