Unlike American comics, which take their time inking with heavy, shapely lines and large pools of black and color panels to make pictures readable, Japanese manga is generally done in black&white and is hundreds of panels long, and since no color will be applied requires a very fine attention to creating thin, perfectly readable line art quickly.
One invaluable program in my repertoire is a strange little painting tool from the land of holographic pop idols and gameshows that hit guys in the balls: Japan.