Traditional rail inspection methods, primarily relying on manual inspection and basic equipment, face significant challenges including low efficiency, poor accuracy, and susceptibility to human error. This paper presents a comprehensive review of the current research status and future trends in multi-sensor rail transit inspection vehicles. The focus is on the integrated application of various sensing technologies, particularly inertial systems and visual sensing, to achieve high-precision and efficient measurement of rail geometrical parameters. An in-depth analysis of key technologies and challenges in railway track inspection is provided, exploring how advanced sensing methods can overcome the limitations of traditional approaches. The paper also examines the market prospects for rail transit inspection, highlighting the growing demand for more sophisticated and reliable inspection systems. Furthermore, potential future research directions in this field are outlined, including the development of AI-powered data analysis, real-time defect detection algorithms, and the integration of emerging technologies such as LiDAR and thermal imaging. This review aims to provide valuable insights for researchers, engineers, and industry professionals working on advancing rail inspection technologies.