Ensuring food quality, safety, and authenticity has become a central challenge for contemporary food systems because risks now emerge across production, processing, distribution, retail, and consumption. Artificial intelligence is increasingly used to interpret complex food data, including spectral signals, images, sensor outputs, molecular profiles, traceability records, and supply-chain alerts. These developments suggest that AI can support a shift from reactive food inspection toward predictive and preventive food integrity assurance. Despite this promise, AI applications in food quality, safety, and authenticity often remain separated across disciplinary and technological domains. Sensing studies focus on detection accuracy, prediction studies focus on model performance, traceability studies focus on chain-of-custody infrastructure, and explainable AI studies focus on interpretability. This fragmentation limits the field’s ability to understand how these components could function together as an integrated assurance system. This integrative review synthesises 31 peer-reviewed articles published between 2017 and 2025 across food science, analytical chemistry, sensing technology, food informatics, and artificial intelligence. The review examines four interconnected domains: sensing technologies and data sources, prediction models for quality and safety, traceability and authenticity verification, and explainable decision systems. Its purpose is not to report new empirical data, but to integrate diverse research streams into a coherent conceptual understanding of AI-enabled food integrity assurance. The review shows that AI has already demonstrated value in optical sensing, spectroscopy, imaging, authenticity testing, shelf-life prediction, risk assessment, fraud detection, and traceability analysis. However, most applications are still designed as isolated models rather than as connected decision systems. Three tables classify sensing technologies, categorise prediction models, and present an integrative framework linking detection, prediction, provenance, and explainable decisions. The central conclusion is that the technical components of AI-enabled food integrity assurance already exist, but they remain insufficiently integrated. Future research should move beyond stand-alone classification or prediction models and toward interoperable, explainable, and operationally validated systems. Such systems should connect sensing, prediction, traceability, and human decision-making across food supply chains.