The aim is to reduce the dose delivered without effecting the X-ray beam profile. Changing E-gun voltage will reduce the current and hence the dose delivered is what I understand. Same is the case with width reduction or by delaying E-gun pulse with respect to RF pulse. But does this have any unwanted effects ? Does presence of only electron beam without RF in the LINAC tube effect the system in someway? Is it a common practice to change E-gun parameters like voltage, pulse width and pulse delay wrt RF input for dose variation in VMAT ?