Let us pretend that the Touhou series has been officially introduced to Western gamers, but some of the names have been changed to sound more "American". What do you think will some of the girls be called?
Names such as Marisa, Remilia, Letty, Medicine, etc. will most likely be left untouched because they already sound like English names, but ones like Reimu, Sanae, Yukari, Yuka, etc. will mostly likely be changed since they sound too "Japanese".
So maybe they will become something like...
Reimu = Rena
Sanae = Sally
Okay, I can't think of much at the moment... Try to come up with more by yourselves!
Enjoy!