The Overlay IE defines the Attributes that describe an independent set of Overlay Planes. The Overlay IE may represent in a bit-map format, graphics or text and is used to indicate such items as region of interest, reference marks and annotations. Sufficient information shall be available to allow an overlay to be presented at a display station superimposed on a particular image with which it is associated. An Overlay IE shall be related to only one Series IE.

An Overlay Plane may be represented as a single frame (when associated with a single frame image) or as multiple frames of overlay planes (when associated with a Multi-frame image).