Overlay is a very, very old way of storing a few binary bitmap layers that can be displayed over the image. It is also very limited in that there is no standard way of specifying what the overlay contains (with proper standard terminology), number of layers are limited, the layers are stored along with the image (so if you change the layers then you need to store the entire image again), etc. Most modern software do not use this DICOM tag (especially not for quantitative analysis) and you cannot expect any software or libraries to add support for it today.
Instead, segmentations should be stored in DICOM Segmentation Objects, and measurements in DICOM Structured Reports.