Are you using integrated sound, or do you have a separate sound card? If you are using sound from the MB, buy a cheapie sb compatible sound card. When using the integrated sound, you are using CPU that could be used by the game.
Right now my cab has an AMD TBird 1.2 with 512 ram, $7 soundcard, ATI 8 or 16mg video card with TV out running MAME .60 and getting full speed on everything (Stun Runner runs well, maybe a glitch here or there, but I'm not sure thats the machine or the game). Everything else runs great....of course I'm only up to .60, so the newer stuff may need more UMPF!
Anyway, I found that a separate soundcard helps, and they are usually cheap.....
Just my 2 cents.