Some people prefer that earliest version of the lens, the one you have, because the front element is recessed a bit so that it hardly needs a lens hood.
The hood for the USM lens is very large, mostly so that it can be reversed for storage. I doubt you'd see a great deal of difference in IQ with either of the newer lenses. Both would give you faster AF, might be a little more generally useful for non-macro stuff, too.
The IS of the latest version might help out about one step of shutter speed at 1:1, but should give 3 or 4 steps worth at non-macro distances.
If you happen to be using the lens on 7D, there's a special AI Servo macro focusing mode that's unique to the camera, when it recognizes certain Canon macro lenses. The two latest 100mm are among the lenses where this will work, but I don't think the earliest model will.
I think your lens has a focus limiter, doesn't it? The later cameras do, too. There might be some differences in the limiter, but I only have the USM lens so really can't compare.
Can your lens be fitted with a tripod mounting ring? The two latest cameras can.
Yes, the Twinlite and Ringlite can be mounted to the USM and the L/IS versions... I don't know if it can be fitted to your version. There's a groove around the front of the lens that the flash mount clips onto. This isn't necessarily a big deal with the MT-24EX... With the Twinlite I use a Lepp-Stroboframe dual flash bracket instead. It gives me much more flexibility, positioning the flash heads where I want them. I think it might be more critical for someone mounting the Ringlight (but I don't use a Canon RL, so can't really say for certain).