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In the last years, there has been a growing interest in the emerging concept of digital twin (DT) as it represents a promising paradigm to continuously monitor cyber-physical systems, as well as to test and validate predictability, safety, and reliability aspects. At the same time, artificial intelligence (AI) is exponentially affirming as an extremely powerful tool when it comes to modeling the behavior of physical assets allowing, de facto, the possibility of making predictions on their potential evolution. However, despite the fact that DTs and AI (and their combination) can act as game-changing technologies in different domains (including the railways), several challenges have to be faced to ensure their effectiveness, especially when dealing with safety-critical systems. This paper provides a narrative review of the scientific literature on DTs for railway maintenance applications, with a special focus on their relationship with AI. The aim is to discuss the opportunities the integration of these two technologies could open in railway maintenance applications (and beyond), while highlighting the main challenges that should be overcome for its effective implementation.