Not sure I'd say they cheat just because they have a top score. The individual records are suspect though. I made it through not quite 20 matches (Cth or Dth round) and was closing in on 1.6 million. Got to the point where I was Hoping I would not qualify.
But, I'm not good enough (or don't use turbo) to get the top scores in the individual matches, but can consistently qualify in each event. I can get around 4 lives saved up, but as I'm just good enough to squeak buy in some events, I eventually tire out and don't qualify. But, I could see with patience, and a lot of time on my hands, those top overall scores are reachable without cheating.