Personally the only time I'd ever use a 46" TV (or something of a comparable size) as a PC monitor is if one of the following happens:
1) My PC is bolted to the floor (IE, there is no possibility to move my PC), and when the PC is already at the comfortable distance
2) If I use my PC as a console and use Joypad for games
3) If the space I am living in is so cramped that I cannot afford to use both a TV and a PC monitor at the same time
Neither of which happen to me.
Put it this way, your eyes can only ever see so much, so you can't really put a 46" TV too close to your face, you'd have to sit pretty far back. That means that whatever distance you put between you and the TV, you are effectively shrinking the size of your screen so it fits in your eyes. Therefore your field of view of your TV and your monitor isn't that different.
So basically, unless the visual fidelity of the 46" TV is actually MUCH better than the said PC monitor, then I really really do not see the point of using a TV for a PC monitor. If you need to move your PC for any reason, good luck moving your TV.
Given everything being equal (refresh rate, visuals), Monitor >>>> TV for PCs.